Active NPI
Dixie D Erickson, ANP
- Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1992798573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 460
- Practice address
- 4100 Lake Otis Pkwy
Suite 216
Anchorage, AK 99508-5222 - Phone
- (907) 563-2873
- Fax
- (907) 563-5852
- NPI assigned
- Aug 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 460 | AK | Primary |
Addresses
Primary practice location
4100 Lake Otis Pkwy
Suite 216
Anchorage, AK 99508-5222
Mailing address
PO Box 202113
Anchorage, AK 99520-2113
Phone (907) 929-8704
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP91071 | Medicaid | AK | |
| 0178870 | Other | AK | WA DEPT OF L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 460 | AK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992798573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202113",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995202113",
"telephone_number": "907-929-8704",
"fax_number": "907-929-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"address_2": "SUITE 216",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085222",
"telephone_number": "907-563-2873",
"fax_number": "907-563-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "DIXIE",
"middle_name": "D",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP91071",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DEPT OF L&I",
"identifier": "0178870",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.