Jennifer Lyn Dizon, BSN, BA, RN, CCM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1094973 Issued in TX

Practice address

12707 Silicon Dr Ste 150
San Antonio, TX 78249-1205

Phone

(210) 501-0995

NPI assigned

Jan 16, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1992516165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY # 104-151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 SILICON DR STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491205",
            "telephone_number": "210-501-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "BSN, BA, RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1042179",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1094973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ojonatu Dixon
• Diana Denise Dizdar, RPH
• Dizon Eye Care, PLLC
• Natalie Diane Dizon-Djurdjev, DNP
• Christian Dizon
• Amanda Jean Dizzine, A.R.N.P.
• DJD Management PC
• Brano Djenic, M.D.
• David Andrew Djuric, M.D.
• DK Eyecare, P.C.

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.