DIXIE SHELTON (NPI# 1780661389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780661389 |
| Entity Type | Individual |
| Full Name | DIXIE SHELTON |
| Practice Address |
11010 Prairie Lakes Dr Suite 250 Eden Prairie MN 55344-3884 |
| Mailing Address |
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786 |
| Practice Telephone | 9527462522 |
| Practice Fax Number | 9527468007 |
| Mailing Telephone | 6516289566 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
R 065814-8 | MN | Nursing Service Providers |
| Street Address |
11010 PRAIRIE LAKES DR SUITE 250 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-3884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690689 | Eric W Goad | Psychiatry & Neurology | 11010 Prairie Lakes Dr, Suite 250, Eden Prairie, MN 55344-3884 | 2005-12-16 |
| 1801453402 | Chantel Osman | Counselor | 11010 Prairie Lakes Dr, Eden Prairie, MN 55344-3884 | 2019-05-20 |
| 1952861510 | Danae M Cowell | Counselor | 11010 Prairie Lakes Dr, Eden Prairie, MN 55344-3884 | 2019-03-20 |
| 1417494998 | Amanda Lee Johnson Fleming | Nurse Practitioner | 11010 Prairie Lakes Dr, #350, Eden Prairie, MN 55344-3884 | 2017-01-23 |
| 1861944761 | Katheryn Alexander | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2016-10-27 |
| 1851847115 | Ingrid Sanchez | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2016-08-28 |
| 1427400936 | Justin Pope | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2016-07-08 |
| 1811349764 | Nancy Ann Lowe | Counselor | 11010 Prairie Lakes Dr, # 350, Eden Prairie, MN 55344-3884 | 2016-07-04 |
| 1699138701 | Joicy Thomas | Social Worker | 11010 Prairie Lakes Dr, Eden Prairie, MN 55344-3884 | 2016-04-05 |
| 1568859213 | Amber Reis | Marriage & Family Therapist | 11010 Prairie Lakes Dr, #350, Eden Prairie, MN 55344-3884 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292369 | Elaina Railey | Registered Nurse | 16765 Joplin Way, Lakeville, MN 55044-5682 | 2020-07-09 |
| 1912566530 | Eli Sedo | Registered Nurse | 1440 Spartan Ave, Albert Lea, MN 56007-1328 | 2019-06-07 |
| 1780880781 | Christine Maren Anderson | Registered Nurse | 2550 University Ave W., Suite 229n, St Paul, MN 55114-2290 | 2007-06-26 |
| 1093379059 | Lubasi Kamuti Sr. | Registered Nurse | 726 2nd St Ne, Minneapolis, MN 55413-1662 | 2019-04-25 |
| 1316445455 | Northern Waters Clinic, Pllc | Registered Nurse | 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811-1582 | 2018-01-23 |
| 1740663798 | Jordan P Hobbs | Registered Nurse | 124 Elton Hills Ln Nw, Rochester, MN 55901-3577 | 2015-07-08 |
| 1245206291 | Debra S Lalley | Registered Nurse | 1406 6th Ave N, St Cloud Hospital Behavioral Health Clinic, St Cloud, MN 56303 | 2006-02-28 |
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on DIXIE SHELTON.
| 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.