Andrea Dixon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

262766-01 Issued in NY

Practice address

168-04 Jamaica Ave
Jamaica, NY 11432

Phone

(347) 777-4574

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1942959283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194-18 114 DR.",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "11412",
            "telephone_number": "347-777-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168-04 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "347-777-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "262766-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kenneth Dittmar, MD
• Mariamma Daniel Divakaran, LPN
• Diversified Medical Imaging P.C.
• Divine Home Health LLC
• Jonathan Divito
• Andrea L Dixon, LCSW
• DJ Dental Services P.C.
• Amele Djegnon
• DO & Co New York Catering, Inc.
• Graciela Beatriz DO Santos, L.M.S.W.

• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.