Kimberly Ann Dixon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

931 Westwood Dr Ste E
Marrero, LA 70072-2400

Phone

(504) 340-8880

Fax

(504) 340-8880

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Acidom Consulting Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marrero, LA
  • NPI 1669728051
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1972002012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 WALES ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261443",
            "telephone_number": "504-346-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 WESTWOOD DR STE E",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722400",
            "telephone_number": "504-340-8880",
            "fax_number": "504-340-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lana G. Divens, RN
• Frank C. Divincenti, M.D.
• Divine Impact Case Management LLC
• Divine Wisdom Adhc
• Brittany Nicole Dixon
• Dle Tranasportation LLC
• Diem Duy DO, D.D.S.
• Mai DO, PHARMD
• Kathy Dobnick
• Doctor Katz, Inc (a Professional Medical Corporation)

• All providers in Marrero, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.