Individual provider Active NPI

Telisha Dixon, FNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1972955052
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21386 Issued in TN
Practice address
7691 Poplar Ave
Germantown, TN 38138-3904
Phone
(901) 516-6970
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21386 TN Primary

Addresses

Primary practice location

7691 Poplar Ave
Germantown, TN 38138-3904

Mailing address

360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone (901) 261-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005001592 TN Practitioner - Nurse Practitioner 6901194026 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Memphis Health Center, Inc.Group PAC ID 7315859972, 17 clinicians

Practice addresses (Care Compare)

360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone (901) 261-2025

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21386TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC CurrentSince Sep 1, 2016 Accepting new patients
NP Health of TN PLLC CurrentSince Jan 1, 2021 Accepting new patients
Memphis Health Center, Inc. CurrentSince Mar 17, 2021 Accepting new patients
T M Carr MD PC CurrentSince Mar 22, 2017 Accepting new patients
Memphis Health Center, Inc. CurrentSince Mar 17, 2021 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jan 9, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jan 9, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC CurrentSince Jan 9, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jan 9, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

Interoperability endpoints

  • Direct secure messaging: tdixon33958@mlh.direct-ci.com
  • Direct secure messaging: telisha.dixon.2@20250.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1972955052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-261-2000",
            "fax_number": "901-946-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 POPLAR AVE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383904",
            "telephone_number": "901-516-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TELISHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.