Active NPI
Laronda Lynn Dixon
- Private Vehicle
- Monroe, LA
National Provider Identifier
1891132544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 135 Shady LN
Monroe, LA 71203-2228 - Phone
- (318) 512-9619
- Fax
- (318) 323-3570
- NPI assigned
- Jun 3, 2013
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | LA | Primary |
Addresses
Primary practice location
135 Shady LN
Monroe, LA 71203-2228
Mailing address
135 Shady LN
Monroe, LA 71203-2228
Phone (318) 512-9619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1926787 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1891132544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SHADY LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712032228",
"telephone_number": "318-512-9619",
"fax_number": "318-323-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 SHADY LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712032228",
"telephone_number": "318-512-9619",
"fax_number": "318-323-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LARONDA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1926787",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.