Audra Nichole Dixon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN0000083109 Issued in TN

Practice address

907 Old McMinnville St
Spencer, TN 38585-3200

Phone

(931) 946-2438

Fax

(931) 946-7106

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD (past)
• State of Tennessee

  dba Van Buren County Health Department

  • Federally Qualified Health Center (FQHC)
  • Spencer, TN
  • NPI 1942352554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1871973479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 OLD MCMINNVILLE ST",
            "city": "SPENCER",
            "state": "TN",
            "postal_code": "385853200",
            "telephone_number": "931-946-2438",
            "fax_number": "931-946-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 OLD MCMINNVILLE ST",
            "city": "SPENCER",
            "state": "TN",
            "postal_code": "385853200",
            "telephone_number": "931-946-2438",
            "fax_number": "931-946-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "AUDRA",
        "middle_name": "NICHOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000083109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Van Buren Supt T of Schools
• Crescent Wound Care Inc
• Cumberland Family Care P.C. (Cumberland Family Care Van Buren Clinic)
• Cumberland Family Care, P.C. (Cumberland Family Care Diabetes Self-Management Out-Patient Program)
• Abigail Ewing Dixon, LCSW
• Grant Ernest Fraser, M.D.
• Generations Health Association, Inc. (Generations Center of Spencer)
• Heather Christine Gibson, APN
• Suzanne Watson Hayes, DDS
• Integrity Wound Physicians Inc

• Licensed Practical Nurse in Spencer, TN
• Providers in Spencer, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.