DIXON FAMILY MEDICAL CENTER, LLC (NPI# 1235509829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235509829 |
| Entity Type | Organization |
| Organization Name | DIXON FAMILY MEDICAL CENTER, LLC |
| Practice Address |
536 St. Landry Veterans Memorial Hwy. Washington LA 70589-4420 |
| Mailing Address |
Po Box 596 Washington LA 70589-0596 |
| Practice Telephone | 3376285014 |
| Practice Fax Number | 3378265401 |
| Mailing Telephone | 3376285014 |
| Mailing Fax Number | 3378265401 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | MRS. MONIQUE BIANCA DECLOUET-DIXON (PROVIDER/OWNER) |
| Authorized Official Telephone | 3376285014 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP05959 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1820105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366847337 | Dixon Family Medical Center, LLC | Clinic/Center | 536 St. Landry Veterans Memorial Hwy., Washington, LA 70589-4420 | 2014-11-03 |
| Street Address |
536 ST. LANDRY VETERANS MEMORIAL HWY. |
| City | WASHINGTON |
| State | LA |
| Zip Code | 70589-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366847337 | Dixon Family Medical Center, LLC | Clinic/Center | 536 St. Landry Veterans Memorial Hwy., Washington, LA 70589-4420 | 2014-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376911735 | St. Landry Family Healthcare, LLC | Clinic/Center | 6633 Highway 10, Washington, LA 70589 | 2015-09-02 |
| 1336475813 | Monique Bianca Declouet-dixon | Nurse Practitioner | 536 St. Landry Veterans Memorial Hwy, Washington, LA 70589 | 2009-10-19 |
| 1750554812 | Caring Hearts Medical Services | Home Health | 507 South Bridge Street, Washington, LA 70589 | 2008-04-10 |
| 1043368095 | Melville Pharmacy and Gift Shoppe Inc | Durable Medical Equipment & Medical Supplies | 6637 Highway 10, Washington, LA 70589 | 2007-01-08 |
| 1528114170 | John Byron Lee | Pharmacist | 904 Highway 363, Washington, LA 70589 | 2007-01-26 |
| 1326590183 | Tara D Thistlethwaite | Pharmacist | 310 N Main St., Washington, LA 70589-0446 | 2016-10-27 |
| 1073534533 | Glenn's Family Pharmacy Inc | Pharmacist | 310 N. Main St, Washington, LA 70589-0446 | 2006-07-21 |
| 1295116077 | Alissa Denae' Marks | Student in an Organized Health Care Education/Training Program | 370 John Fruge Rd, Washington, LA 70589-4107 | 2015-06-17 |
| 1023191103 | Our Lady of Guadalupe Pharmacy | Pharmacy | 904 Highway 363, Washington, LA 70589-4141 | 2006-10-23 |
| 1649775651 | Bridget Ortego | Dietitian, Registered | 1049 Eugene Soileau Rd, Washington, LA 70589-4174 | 2018-03-30 |
| Find all providers in zip 70589 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1184222754 | Aimee Elizabeth Westmore | Nurse Practitioner | 7701 26 Mile Rd, Washington, MI 48094-2804 | 2020-10-15 |
| 1649877416 | Rachel Maurine Caudle | Nurse Practitioner | 1504 Kern Rd, Washington, IL 61571-2318 | 2020-10-05 |
| 1922615236 | Erica Stickney | Nurse Practitioner | 532 E Beau St, Washington, PA 15301-3608 | 2020-09-30 |
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669086278 | Morgan Marie Weisz | Nurse Practitioner | 1809 Monroe St Ne, Washington, DC 20018-2735 | 2020-09-01 |
| 1952915746 | Alexandra Renee Leeper | Nurse Practitioner | 363 Maple Ave, Washington, PA 15301-1907 | 2020-08-31 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| 1174136345 | Sarah King | Nurse Practitioner | 314 Carroll St Nw Apt 202, Washington, DC 20012-2026 | 2020-08-27 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 70589 |
Please comment or provide details below to improve the information on DIXON FAMILY MEDICAL CENTER, LLC.
| 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.