LETASHA DIXON


Address: 4099 Calavera Dr, Florissant, MO 63033-6632
Phone: 3147230659

LETASHA DIXON (NPI# 1043824568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043824568
Entity Type Individual
Full Name LETASHA DIXON
Practice Address 4099 Calavera Dr
Florissant
MO 63033-6632
Practice Telephone 3147230659
Mailing Telephone 3147230659
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
2020002382 MO Nursing Service Providers

Office Location

Street Address 4099 CALAVERA DR
City FLORISSANT
State MO
Zip Code 63033-6632

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NPI Name Taxonomy Address Enumeration
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1194243477 Betty Moore Registered Nurse 2875 Devonshire Dr, Florissant, MO 63033 2017-09-06
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386258366 Janet Johnson Registered Nurse 1585 Layven Ave, Florissant, MO 63031-6259 2020-09-07
1245856939 Mother's Way Compassionate Care Health Services, Inc. Registered Nurse 4134 7 Hills Dr, Florissant, MO 63033-6708 2020-06-18
1881218865 Mary Enyonam Anyimadu Registered Nurse 3874 Albers Place Ct, Florissant, MO 63034-1055 2020-06-04
1740809839 Lachanda Rice Registered Nurse 1 N Duchesne Dr, Florissant, MO 63031-8109 2020-04-09
1861995136 Tommie Dale Registered Nurse 3834 Kentucky Derby Dr, Florissant, MO 63034-3323 2018-03-13
1194243477 Betty Moore Registered Nurse 2875 Devonshire Dr, Florissant, MO 63033 2017-09-06
1649546722 Tara Wells Registered Nurse 203 Jamestown Mall, Florissant, MO 63034-2908 2012-03-22
1164563342 Innovative Living Solutions Registered Nurse 100 Rue St Francois, Ste 111, Florissant, MO 63031 2007-02-09
1972101822 Hill's Heavenly Helping Hands, LLC Registered Nurse 525 Rue Saint Francois St Ste 7, Florissant, MO 63031-5036 2020-10-13
1952925554 Peace of Mind In-home LLC Registered Nurse 3551 Heather Trails Dr, Florissant, MO 63031-1214 2020-05-31
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Competitor

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City FLORISSANT
Zip Code 63033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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