TRACEY MARIE DIXON (NPI# 1538726179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538726179 |
| Entity Type | Individual |
| Full Name | TRACEY MARIE DIXON |
| Practice Address |
2595 Interstate Dr Ste 103 Harrisburg PA 17110-9378 |
| Mailing Address |
225 Stryjak Rd Mountain Top PA 18707-9381 |
| Practice Telephone | 8003703651 |
| Practice Fax Number | 8775157147 |
| Mailing Telephone | 5707091953 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP020197 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906077 | Tracey Marcharn Dixon | Technician | 16310 Accolawn Rd, Accokeek, MD 20607-2306 | 2019-01-15 |
| Street Address |
2595 INTERSTATE DR STE 103 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245446673 | Robert William Shambaugh | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2007-05-15 |
| 1104446871 | Nines Radiology Pa PC | Radiology | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2020-04-22 |
| 1619441862 | Shawn Kelly Pritchett | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2019-01-21 |
| 1972082766 | Whitney Marie Robenolt | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2018-08-13 |
| 1467944470 | Kristine V. Spano | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2018-06-05 |
| 1851801120 | Laura Milani Betancourt | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-10-02 |
| 1992246433 | Kristin Caffier | Social Worker | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-03-16 |
| 1235678764 | Ron Nieberding | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-02-16 |
| 1083151039 | Ann Weston | Social Worker | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2017-01-30 |
| 1700182292 | Kate Stockton Marcelli | Psychologist | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2011-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891345971 | Allison Lyavdansky | Nurse Practitioner | 600 N 2nd St Ste 401, Harrisburg, PA 17101-1071 | 2019-09-19 |
| 1578781092 | Kay Louise Huber | Nurse Practitioner | 248 Seneca St, Harrisburg, PA 17110-1840 | 2007-04-22 |
| 1689220535 | Lindsey M Aumiller | Nurse Practitioner | 810 Sir Thomas Ct Ste 101, Harrisburg, PA 17109-4839 | 2019-08-16 |
| 1497236350 | Julia Maria Lara | Nurse Practitioner | 110 S 17th St, Harrisburg, PA 17104-1123 | 2018-08-28 |
| 1275032872 | Suzanne Lebeau | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-02-08 |
| 1740721208 | Tammy Lynne Miceli | Nurse Practitioner | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 | 2017-03-16 |
| 1457725665 | Jill Madigan | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-26 |
| 1902200330 | Brittney C Tanner | Nurse Practitioner | 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109-5317 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
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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.