MARK LEE DIXON (NPI# 1437666864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437666864 |
| Entity Type | Individual |
| Full Name | MARK LEE DIXON |
| Credential | CPC |
| Practice Address |
3322 Broadway Everett WA 98201-4425 |
| Mailing Address |
16800 27th Ave Ne Apt G139 Marysville WA 98271-1317 |
| Practice Telephone | 4253496800 |
| Mailing Telephone | 4255293323 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CH60803427 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043610397 | Mark Dixon | Community Health Worker | 7022 Trillium Ln, Reynoldsburg, OH 43068-4836 | 2014-08-22 |
| 1497987747 | Mark Richard Dixon | Behavioral Analyst | 34 Lake Indian Hills Trl, Carbondale, IL 62902-6194 | 2009-08-20 |
| 1699987313 | Mark S Dixon | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2007-05-04 |
| 1679624787 | Mark Andrew Dixon | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2007-01-15 |
| 1245286400 | Mark Dale Dixon | Emergency Medicine | 1395 S Pinellas Ave, Tarpon Springs, FL 34689-3790 | 2006-05-26 |
| 1952384463 | Mark Ernest Dixon | Emergency Medicine | 2000 N. Boise Ave., Loveland, CO 80538-7282 | 2005-11-29 |
| 1912980236 | Mark Dixon | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-21 |
| 1457345506 | Mark C Dixon | Anesthesiology | 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660-3847 | 2005-09-06 |
| Street Address |
3322 BROADWAY |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689616393 | Catherine Marie Naiad | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2006-06-10 |
| 1588290811 | Isabel Aguila | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2020-03-18 |
| 1255982088 | Kelsey Lockard | Student in an Organized Health Care Education/Training Program | 3322 Broadway, Everett, WA 98201-4425 | 2019-09-23 |
| 1669021200 | Brooke Elizabeth Claxton | Behavior Technician | 3322 Broadway, Everett, WA 98201-4425 | 2019-09-06 |
| 1508414525 | Elizabeth Baily | Peer Specialist | 3322 Broadway, Everett, WA 98201-4425 | 2019-09-03 |
| 1003468224 | Bae Lee | Assistant Behavior Analyst | 3322 Broadway, Everett, WA 98201-4425 | 2019-07-09 |
| 1699330134 | Brian David Andersen | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2019-05-09 |
| 1538620646 | Michael Tyler Tallman | Behavior Technician | 3322 Broadway, Everett, WA 98201-4425 | 2019-03-29 |
| 1952869927 | Emily Dachman | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2019-03-07 |
| 1477011633 | Felicia Keeton-howard | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1992211536 | Edna Iris Cruz | Peer Specialist | 3322 Broadway # Ms 04, Everett, WA 98201-4425 | 2017-12-19 |
| 1912419995 | Stacey Lynn Mcvay | Peer Specialist | 3322 Broadway Fl 1, Everett, WA 98201-4425 | 2017-10-30 |
| 1023625886 | Judith Effenberger | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-25 |
| 1225640808 | Linda Schaefer | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-17 |
| 1487264271 | Joshua Lane Jacobs | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-05 |
| 1083224323 | Hannah Lee Gay | Peer Specialist | 4526 Federal Ave # 40, Everett, WA 98203-2132 | 2020-08-02 |
| 1497365738 | Alexandria D Carrigg | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-02 |
| 1629688031 | Emily Elizabeth Miller | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-07-31 |
| 1518583541 | Alexandria Noelle Bain | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-06-25 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on MARK LEE DIXON.
| 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.