Individual provider Active NPI

John Christopher Dixon

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1942641014
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3008636 Issued in KY
Practice address
910 Schiller Ave
Louisville, KY 40204-2006
Phone
(727) 637-8288
Fax
(502) 287-0618
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20231003001561 IN Practitioner - Nurse Practitioner 2264676675 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3008636KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carey Counseling Center, Inc. CurrentSince Aug 9, 2013 Accepting new patients
Newday Center CurrentSince May 6, 2024 Accepting new patients
Roadways to Recovery Inc., Psychiatric/Mental Health CurrentSince Aug 17, 2023 Accepting new patients

Locations

2620 Industrial Dr
Bedford, IN 47421
Phone (812) 583-6540

821 N State Road 135
Greenwood, IN 46142
Phone (317) 560-4300

9240 N Meridian St
Ste 340
Indianapolis, IN 46260
Phone (317) 291-1967

19410 Main St W
Huntingdon, TN 38344
Phone (731) 986-4411

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3008636 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

910 Schiller Ave
Louisville, KY 40204-2006

Mailing address

4112 Fern Valley Rd
Louisville, KY 40219-1973

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2023.

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1942641014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 FERN VALLEY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191973",
            "fax_number": "833-728-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SCHILLER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042006",
            "telephone_number": "727-637-8288",
            "fax_number": "502-287-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3008636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.