Active NPI
Kristi Darnell Dixon, M.A.ED., CCC-SLP
- Speech-Language Pathologist
- Blackey, KY
National Provider Identifier
1881005676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1869
- Practice address
- 3650 Highway 7 S
Blackey, KY 41804-8901 - Phone
- (606) 438-0951
- Fax
- (606) 633-0891
- NPI assigned
- May 14, 2014
- Last updated
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1869 | KY | Primary |
Addresses
Primary practice location
3650 Highway 7 S
Blackey, KY 41804-8901
Mailing address
3650 Highway 7 S
Blackey, KY 41804-8901
Phone (606) 438-0951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1869 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1881005676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 HIGHWAY 7 S",
"city": "BLACKEY",
"state": "KY",
"postal_code": "418048901",
"telephone_number": "606-438-0951",
"fax_number": "606-633-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 HIGHWAY 7 S",
"city": "BLACKEY",
"state": "KY",
"postal_code": "418048901",
"telephone_number": "606-438-0951",
"fax_number": "606-633-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "KRISTI",
"middle_name": "DARNELL",
"name_prefix": "Miss",
"credential": "M.A.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "1869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackey, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.