SANDRA DIXON (NPI# 1255541496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255541496 |
| Entity Type | Individual |
| Full Name | SANDRA DIXON |
| Credential | C.N.S. |
| Practice Address |
809 W Church St Champaign IL 61820-3320 |
| Mailing Address |
602 W University Ave Urbana IL 61801-2530 |
| Practice Telephone | 2173731854 |
| Mailing Telephone | 2173833311 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568781110 | Sandra Dixon | Occupational Therapy Assistant | 156 Haven St, Cottage Hills, IL 62018-1243 | 2010-05-21 |
| 1972552594 | Sandra Annette Dixon | Psychologist | 360 Massachusetts Ave, Arlington, MA 02474-6714 | 2006-05-09 |
| 1558536557 | Sandra Katrese Dixon | Occupational Therapist | 3703 W Lake Ave, 200, Glenview, IL 60026-5823 | 2008-04-30 |
| 1689866907 | Sandra Jo Dixon | Social Worker | 12351 W 96th Ter, 300, Lenexa, KS 66215-4409 | 2007-08-10 |
| 1598894917 | Sandra D Dixon | Psychiatry & Neurology | 2825 East Barnett Rd, Medford, OR 97504 | 2007-03-02 |
| 1538137807 | Sandra K Dixon | Dietitian, Registered | 300 S Main St, Brooksville, FL 34601-3320 | 2006-03-10 |
| Street Address |
809 W CHURCH ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930619 | Pavilion Foundation | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2006-02-09 |
| 1780055608 | Pavilion Foundation Pharmacy | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2015-10-19 |
| 1538490172 | Staci Lee Mcnicholl | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2010-01-21 |
| 1093948440 | Robert J Mcnicholl | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2009-09-02 |
| 1407096043 | The Pavilion Foundation | Psychiatric Residential Treatment Facility | 809 W Church St, Champaign, IL 61820-3320 | 2009-02-23 |
| 1326258864 | L. Jane Wilson | Marriage & Family Therapist | 809 W Church St, Champaign, IL 61820-3320 | 2007-05-23 |
| 1487873915 | Peter Erickson | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2007-04-24 |
| 1316093453 | Janet Wipfli | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316093453 | Janet Wipfli | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728169 | Amy Lynn Katsikas | Clinical Nurse Specialist | 1405 North Green Mount Road, Suite 511, O'fallon, IL 62269-3494 | 2020-04-08 |
| 1407349343 | Tina Marie Bauman | Clinical Nurse Specialist | 1555 Barrington Rd Ste 1400, Hoffman Estates, IL 60169-5038 | 2018-06-13 |
| 1639547417 | Virginia Ann Baker | Clinical Nurse Specialist | 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 | 2015-09-09 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1821474388 | Deborah Ann Lawrence | Clinical Nurse Specialist | 17800 Kedzie Ave Fl 4, Hazel Crest, IL 60429-2029 | 2015-08-07 |
| 1245615947 | Gabriel Oluwakotanmi | Clinical Nurse Specialist | 8056 S Harper Ave, Chicago, IL 60619-4637 | 2015-07-23 |
| 1013398718 | Associated Physicians Group Ltd | Clinical Nurse Specialist | 4414 W Center Dr, Alton, IL 62002-5932 | 2015-06-18 |
| 1396148391 | Elizabeth Moon | Clinical Nurse Specialist | 252 Thrush Cir, Lindenhurst, IL 60046-7948 | 2014-10-03 |
| 1831435189 | Rena Thompson | Clinical Nurse Specialist | 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 | 2012-12-13 |
| 1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
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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.