Active NPI
Alecia Lynn Dixon, M.S.
- Speech-Language Pathologist
- Kingston, WA
National Provider Identifier
1962665109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60299421
- Practice address
- 9000 NE West Kingston Rd
Kingston, WA 98346-9327 - Phone
- (314) 920-1523
- NPI assigned
- Jul 8, 2008
- Last updated
- Sep 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP-1747 | ID | |
| Speech-Language Pathologist | 235Z00000X | 2009036119 | MO | |
| Speech-Language Pathologist | 235Z00000X | LL60299421 | WA | Primary |
Addresses
Primary practice location
9000 NE West Kingston Rd
Kingston, WA 98346-9327
Mailing address
22275 Dauntless Dr NW Unit 108
Poulsbo, WA 98370-4009
Phone (314) 920-1523
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP-1747 | ID | MD | Speech-Language Pathologist |
| 2009036119 | MO | MD | Speech-Language Pathologist |
| LL60299421 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1962665109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22275 DAUNTLESS DR NW UNIT 108",
"city": "POULSBO",
"state": "WA",
"postal_code": "983704009",
"telephone_number": "314-920-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 NE WEST KINGSTON RD",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469327",
"telephone_number": "314-920-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "ALECIA",
"middle_name": "LYNN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "TSLP-1747",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2009036119",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60299421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.