ELLEN DIXON (NPI# 1619475936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619475936 |
| Entity Type | Individual |
| Full Name | ELLEN DIXON |
| Practice Address |
9502 Garden Wood Drive Apt 421 Fort Worth TX 76118 |
| Mailing Address |
9502 Garden Wood Dr Apt 421 Fort Worth TX 76118-4719 |
| Practice Telephone | 9033634444 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073013066 | Ellen Dixon | Specialist/Technologist | 873 Timberview Ave, Springfield, OH 45502-7963 | 2018-02-15 |
| 1770964637 | Ellen Dixon | Pharmacist | 2150 Brownsville Rd, Suite 120, Pittsburgh, PA 15210-4273 | 2015-06-16 |
| 1053867804 | Ellen Dixon | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2016-08-31 |
| Street Address |
9502 GARDEN WOOD DRIVE APT 421 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588016067 | Bartholomew Henderson | Registered Nurse | 3604 Scranton Dr, Richland Hills, TX 76118 | 2016-07-07 |
| 1447548391 | Brent Cooper Orr | Technician, Other | 7415 Whitehall Street Suite 118, Ft Worth, TX 76118 | 2011-07-13 |
| 1972804300 | National Hme | Durable Medical Equipment & Medical Supplies | 7451 Airport Freeway, Richland Hills, TX 76118 | 2010-11-17 |
| 1053572628 | C3 Christian Academy LLC | Respite Care | 6609 Baker Blvd, Richland Hills, TX 76118 | 2008-06-17 |
| 1922282946 | C3 Academy, LLC | Custodial Care Facility | 6609 Baker Blvd., Richland Hills, TX 76118 | 2007-12-27 |
| 1770787202 | George L Ruffin | Counselor | 6900 Boulevard 26, Richland Hills, TX 76118 | 2007-06-11 |
| 1649322629 | Bestcare Home Health,inc | Home Health | 7215-a Baker Blvd., Richland Hills, TX 76118 | 2007-01-18 |
| 1972692838 | Clearview Medical Incorporated | Durable Medical Equipment & Medical Supplies | 2503 Gravel Dr, Fort Worth, TX 76118 | 2006-10-11 |
| 1790753689 | Breath of Life, Inc. | Durable Medical Equipment & Medical Supplies | 2612 Gravel Dr, Bldg 7, Fort Worth, TX 76118 | 2006-03-08 |
| 1619118874 | Pam Cleere Moon | Dentist | 7713 Sand St, Ft Worth, TX 76118 | 2009-03-18 |
| Find all providers in zip 76118 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
| 1538766597 | Billy Derek Huddleston | Student in an Organized Health Care Education/Training Program | 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 | 2020-10-02 |
| 1942828371 | Ellener Harper | Student in an Organized Health Care Education/Training Program | 9232 Oldwest Trl, Fort Worth, TX 76131-3114 | 2020-07-13 |
| 1396374005 | Mikel Robert Bell | Student in an Organized Health Care Education/Training Program | 855 Montgomery St Ste 257, Fort Worth, TX 76107-2553 | 2020-04-04 |
| 1750919171 | William Thomas Cates | Student in an Organized Health Care Education/Training Program | 3248 W 7th St Apt 308, Fort Worth, TX 76107-2804 | 2020-03-31 |
| 1710514690 | Javier Eduardo Ordonez | Student in an Organized Health Care Education/Training Program | 3512 Princess Victoria Ct, Fort Worth, TX 76137-6074 | 2020-03-23 |
| 1548896749 | Eric Bash | Student in an Organized Health Care Education/Training Program | 6137 Obsidian Creek Dr, Fort Worth, TX 76179-1543 | 2020-03-19 |
| 1700417821 | Abigail U Davis | Student in an Organized Health Care Education/Training Program | 5113 Glen Canyon Rd, Fort Worth, TX 76137-4104 | 2020-01-28 |
| 1699312439 | Lacey Jane Arnett | Student in an Organized Health Care Education/Training Program | 3305 West Cantey St, Fort Worth, TX 76129-0001 | 2019-11-27 |
| 1699322396 | Anastasia Davis | Student in an Organized Health Care Education/Training Program | 3628 Woodmoor Rd, Fort Worth, TX 76133-6336 | 2019-08-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76118 |
Please comment or provide details below to improve the information on ELLEN 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.