Abby Rose Dixon, LPN
Individual provider Active NPI Registered Nurse · Henrietta, NY
NPI 1942558671 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1942558671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 7359921 (NY)
- Practice address
- 15 High Manor Dr Apt 2
Henrietta, NY 14467-9108 - Phone
- (585) 406-8743
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7359921 | NY | MD | Registered Nurse |
| 1-029-4121 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 1-029-4121 | NY | |
| Registered Nurse | 163W00000X | 7359921 | NY | Yes |
Addresses
Primary practice location
15 High Manor Dr Apt 2
Henrietta, NY 14467-9108
Mailing address
165 Butler Dr
Pittsford, NY 14534-2539
Phone (585) 406-8743
Other names
- Abby Rose Moonschein
Other providers in Henrietta, NY
- Daniel E. Phillips, D.D.S., P.L.L.C.
- Roberta M Davis
- Tamika Davis
- Denasia Homes
- Catherine E Dickinson
- Adama Dumbuya
- Karen Dupre
- Durable Medical Equipment & Supplies LTD
- Kristen E Dyer
- Erica Lynn Eason
All providers in Henrietta, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.