Terrel Leonard Dixon

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

1245221 Issued in FL

Practice address

9688 Freefall Rd
Jacksonville, FL 32221-5636

Phone

(904) 486-6294

NPI assigned

Aug 12, 2024

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1992536775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPY STE B105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322110810",
            "telephone_number": "904-486-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9688 FREEFALL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322215636",
            "telephone_number": "904-486-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TERREL",
        "middle_name": "LEONARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "FL",
            "license": "1245221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakira Yvette Amelia Dixon, DPT
• Shanai Lashayla Dixon, MD
• Shannon Lorraine Dixon
• Sonya Dixon
• Suzanne Elizabeth Dixon, OTR/L, BCB
• Kimberly Dizmang, CRNA
• Alejandro Cabigting Dizon, MD
• Bonnadelbert Lingat Dizon, RDH
• Heide Marie Dizon, RN
• Liberty Liboon Dizon, M.D.

• Prevention Professional in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prevention Professional in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.