MRS. JODY LYN DIXON (NPI# 1366694473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366694473 |
| Entity Type | Individual |
| Full Name | MRS. JODY LYN DIXON |
| Credential | BA |
| Practice Address |
521 Broadway Avenue North Five County Mental Health Center - Braham Office Braham MN 55006 |
| Mailing Address |
Po Box 287 521 Broadway Avenue North Braham MN 55006 |
| Practice Telephone | 3203963333 |
| Practice Fax Number | 3203963363 |
| Mailing Telephone | 3203963333 |
| Mailing Fax Number | 3203963363 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| 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 |
| Street Address |
521 BROADWAY AVENUE NORTH FIVE COUNTY MENTAL HEALTH CENTER - BRAHAM OFFICE |
| City | BRAHAM |
| State | MN |
| Zip Code | 55006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235279621 | John Theophile Lindquist | Psychologist | 521 Broadway Avenue North, Five County Mental Health Center, Braham, MN 55006 | 2007-02-07 |
| 1174777981 | Kimberly Jane Yzermans Nelson | Case Manager/Care Coordinator | 521 Broadway Avenue North, Firve County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-11-06 |
| 1184877599 | Derek Thomas Magaard | Rehabilitation Practitioner | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-29 |
| 1629220736 | Roxanne Lynn Anderson | Case Manager/Care Coordinator | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-21 |
| 1447402557 | Kimberly Marie Norberg | Case Manager/Care Coordinator | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-21 |
| 1801015417 | Five County Mental Health Center | Clinic/Center | 521 Broadway Avenue North, Five County Mental Health Center Braham, Braham, MN 55006 | 2007-04-24 |
| 1144363409 | Marlin Oscar Trulsen | Psychologist | 521 Broadway Avenue North, Five County Mental Health Center Braham, Braham, MN 55006 | 2007-02-15 |
| 1952443103 | Lois June Flor | Social Worker | 521 Broadway Avenue North, Five County Mental Health Center Braham, Braham, MN 55006 | 2007-02-13 |
| 1659412856 | Carolyn G Thomas | Marriage & Family Therapist | 521 Broadway Avenue North, Five County Mental Health Center Braham, Braham, MN 55006 | 2007-02-09 |
| 1194866392 | Rosemary B Leonard | Clinical Nurse Specialist | 521 Broadway Avenue North, Five County Medical Health Center Braham, Braham, MN 55006 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518192756 | David Michael Noren | Rehabilitation Practitioner | 521 Broadway Ave N, Braham, MN 55006 | 2009-05-18 |
| 1851513477 | James Allen Radziun | Dentist | 110 5th Street Nw, Braham, MN 55006 | 2007-05-03 |
| 1033259411 | Christine Tande Johnson | Psychologist | 521 Broadway Ave North, Five County Mental Health Center, Braham, MN 55006 | 2007-02-07 |
| 1679612782 | Jennifer Nell White | Psychologist | Five County Mental Health Center, 521 Broadway Avenue North, Braham, MN 55006 | 2007-02-05 |
| 1124519400 | Braham Family Dental | Clinic/Center | 110 5th St Nw, Braham, MN 55006 | 2018-05-23 |
| 1871535344 | East Central Dental Clinic, Pa | Clinic/Center | 110 5th St Nw, Braham, MN 55006-3015 | 2006-06-11 |
| 1396968988 | Ind. School District 314 | Local Education Agency (LEA) | 531 Elmhurst Ave S, Braham, MN 55006-3105 | 2007-04-11 |
| 1508015504 | Remedios Home Healthcare Services | Home Health | 41949 Rice Lake Rd Ne, Braham, MN 55006-3117 | 2008-09-15 |
| 1306232210 | Megan Jean Schultz Koverman | Registered Nurse | 1003 Hilltop St, Braham, MN 55006-3221 | 2015-04-08 |
| 1467975490 | Joanna Claire Pust | Midwife | 1029 Highway 65 Ste 109, Braham, MN 55006-3359 | 2017-07-21 |
| Find all providers in zip 55006 | ||||
| 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 |
|---|---|---|---|---|
| 1174777981 | Kimberly Jane Yzermans Nelson | Case Manager/Care Coordinator | 521 Broadway Avenue North, Firve County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-11-06 |
| 1629220736 | Roxanne Lynn Anderson | Case Manager/Care Coordinator | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-21 |
| 1447402557 | Kimberly Marie Norberg | Case Manager/Care Coordinator | 521 Broadway Avenue North, Five County Mental Health Center - Braham Office, Braham, MN 55006 | 2008-10-21 |
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| 1376008474 | Richard Lee Lloyd | Case Manager/Care Coordinator | 418 County Road D E, Saint Paul, MN 55117-1218 | 2019-02-04 |
| 1932673340 | Danielle Lee Maas | Case Manager/Care Coordinator | 6705 Oak Grove Pkwy Unit 1138, Brooklyn Park, MN 55445-2552 | 2019-01-18 |
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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.