Individual provider Active NPI

Anna Merrie Dixon, FNP-C,

  • Family Nurse Practitioner
  • Durango, CO
National Provider Identifier
1912940057
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123701 Issued in TX
Practice address
29423 Highway 160
Durango, CO 81301-7939
Phone
(970) 475-4300
Fax
(970) 515-7054
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN-.0000463-C-NP CO
Family Nurse Practitioner 363LF0000X AP123701 TX Primary

Addresses

Primary practice location

29423 Highway 160
Durango, CO 81301-7939

Mailing address

29423 Highway 160
Durango, CO 81301-7939
Phone (970) 475-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022000327 TX Practitioner - Nurse Practitioner 4880771245 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN-.0000463-C-NPCOMDFamily Nurse Practitioner
AP123701TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bird Dog Pharma, LLC CurrentSince Oct 12, 2020 Accepting new patients
Turnkey Allergy Solutions, LLC CurrentSince Oct 12, 2020 Accepting new patients
Duchon Chiropractic PastSince Oct 1, 2022 Accepting new patients

Locations

12242 Queenston Blvd
Ste E
Houston, TX 77095
Phone (713) 252-3579

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1912940057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29423 HIGHWAY 160",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017939",
            "telephone_number": "970-475-4300",
            "fax_number": "970-515-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29423 HIGHWAY 160",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017939",
            "telephone_number": "970-475-4300",
            "fax_number": "970-515-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ANNA",
        "middle_name": "MERRIE",
        "credential": "FNP-C,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN-.0000463-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.