EBONY DIXON (NPI# 1235572132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235572132 |
| Entity Type | Individual |
| Full Name | EBONY DIXON |
| Practice Address |
914 E Broadway Louisville KY 40204-1037 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898745 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2014-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004648 | Ebony Dixon | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-03-28 |
| Street Address |
914 E BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832280 | Marian Lancaster | Counselor | 914 E Broadway, Ste. 216, Louisville, KY 40204-1037 | 2006-06-25 |
| 1255931218 | Ashley M Dountz | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2020-10-29 |
| 1659978716 | Alexandria A Farmer-jucoff | Psychologist | 914 E Broadway, Louisville, KY 40204-1037 | 2020-10-02 |
| 1396352050 | Jane A Guthrie | Marriage & Family Therapist | 914 E Broadway, Louisville, KY 40204-1037 | 2020-09-28 |
| 1023628146 | Lindsay N Brotzge | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2020-08-04 |
| 1801422084 | Stephanie Hurst | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2020-03-19 |
| 1205466083 | Lindsey M Smith | Counselor | 914 E Broadway, Louisville, KY 40204-1037 | 2020-01-22 |
| 1164060141 | Rita Kircher | Social Worker | 914 E Broadway, Louisville, KY 40204-1037 | 2019-12-20 |
| 1457999567 | Ashley Vaden | Marriage & Family Therapist | 914 E Broadway, Louisville, KY 40204-1037 | 2019-12-19 |
| 1407408248 | Heather R Hudson | Counselor | 914 E Broadway, Louisville, KY 40204-1037 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607605 | Yasmeen Barnes | Case Manager/Care Coordinator | 10207 Allentree Pl, Louisville, KY 40229-2214 | 2020-10-22 |
| 1851914048 | Ryon Piphus | Case Manager/Care Coordinator | 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 | 2020-05-21 |
| 1154969129 | Michelle Rae Hicks | Case Manager/Care Coordinator | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2019-12-20 |
| 1992340699 | Sharmika Berry | Case Manager/Care Coordinator | 3728 Chamberlain Ct, Louisville, KY 40241-1753 | 2019-11-17 |
| 1790320570 | Yinethia Brown | Case Manager/Care Coordinator | 8425 Biggin Hill Ln, Louisville, KY 40220-4107 | 2019-11-15 |
| 1508412859 | Erika Lynum | Case Manager/Care Coordinator | 3709 Modesto Rd, Louisville, KY 40299-1443 | 2019-08-13 |
| 1487215703 | Flore Cogswell | Case Manager/Care Coordinator | 3301 Protege Pl Unit 102, Louisville, KY 40245-7731 | 2019-06-26 |
| 1699234849 | Amanda Brown | Case Manager/Care Coordinator | 4405 Bridgeman Ct, Louisville, KY 40218-3039 | 2019-03-18 |
| 1629535430 | Cynthia Sue Howard | Case Manager/Care Coordinator | 103 Wickfield Dr, Louisville, KY 40245-4054 | 2019-02-28 |
| 1669966966 | David Lee Sullivan Jr. | Case Manager/Care Coordinator | 513 Cannons Ln, Louisville, KY 40207-3645 | 2018-06-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
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| 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.