Kimberly Dixon

Primary specialty

SpecialistTaxonomy code 174400000X

License

2305006074 Issued in VA

Practice address

19490 Sandridge Way Ste 170
Leesburg, VA 20176-3467

Phone

(703) 478-0190

Fax

(703) 471-0247

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Pearl Home Care LLC

  • Physical Therapy Clinic/Center
  • Broadlands, VA
  • NPI 1649019415
  NPD Authorized official
• Nova Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Lansdowne, VA
  • NPI 1689983298
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1972688489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19490 SANDRIDGE WAY STE 170",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763467",
            "telephone_number": "703-723-4088",
            "fax_number": "703-723-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19490 SANDRIDGE WAY STE 170",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763467",
            "telephone_number": "703-478-0190",
            "fax_number": "703-471-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "2305006074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Dimond
• Hien Dinh-Choe, PA
• Stephanie Ann Diorio, MSPT
• James Ditaranto, DO
• Krista Elizabeth Dittler, BS, CST, CSFA
• DJ Practices PLLC (Riverside Smiles)
• Paria Djafari, MD
• Van So DO
• Mimi N Doan, PHARM D
• Madison Dobscha

• Specialist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.