Active NPI
Dixie Lee Allen, FNP
- Family Nurse Practitioner
- Destin, FL
National Provider Identifier
1871964502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9496830
- Practice address
- 36500 Emerald Coast Pkwy
Destin, FL 32541-4713 - Phone
- (850) 837-0032
- Fax
- (850) 837-9257
- NPI assigned
- Oct 7, 2015
- Last updated
- Feb 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9496830 | FL | Primary |
Addresses
Primary practice location
36500 Emerald Coast Pkwy
Destin, FL 32541-4713
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9496830 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1871964502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36500 EMERALD COAST PKWY",
"city": "DESTIN",
"state": "FL",
"postal_code": "325414713",
"telephone_number": "850-837-0032",
"fax_number": "850-837-9257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DIXIE",
"middle_name": "LEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9496830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destin, FL
- Access Now Primary Care LLC
- Affinity Therapy of the Emerald Coast Inc
- Affordable Dentures & Implants - Destin II, P.a. (Affordable Dentures & Implants - Destin)
- Valerie Lynn Elzora Ainsworth, PT, DPT
- Alexa Kathleen Allen
- Allergy & Asthma Center of Northwest Florida PA
- Alpha Medical Solutions (The Neuro Company)
- Amazing Medical Supplies, LLC
- Amedisys Florida, L.L.C. (Amedisys Home Health)
- Ashley Anderson, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.