JAMES EDWIN DIXON (NPI# 1881838563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881838563 |
| Entity Type | Individual |
| Full Name | JAMES EDWIN DIXON |
| Credential | IDMT |
| Practice Address |
1 William White Blvd Pueblo CO 81001-4829 |
| Mailing Address |
2234 N Grand Ave Pueblo CO 81003-2539 |
| Practice Telephone | 7194238333 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669581 | James Ryan Dixon | Hearing Instrument Specialist | 255 Ivey Ln, Pinehurst, NC 28374-9818 | 2017-06-19 |
| 1639624646 | James Dixon | Counselor | 17255 Santa Fe St, Hayward, CA 94541-1055 | 2016-08-19 |
| 1457369373 | James Loren Dixon Sr. | Dentist | 221 Winslow Way W #302, Bainbridge Island, WA 98110 | 2006-08-04 |
| 1619522273 | James Omer Dixon | Pharmacist | 701 E Milam St, Mexia, TX 76667-2445 | 2019-08-09 |
| 1891228078 | James Trenton Dixon | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # L10, Cleveland, OH 44195-1675 | 2017-04-05 |
| 1437536026 | James Edward Dixon | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2015-05-03 |
| 1144626409 | James Dixon | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2014-11-14 |
| 1285066431 | James Scott Dixon | Social Worker | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2013-07-30 |
| 1659665487 | James David Dixon | Pharmacist | 2050 Gallatin Pike N, T-0144, Madison, TN 37115-2002 | 2011-06-09 |
| 1235331562 | James A Dixon | Counselor | 225 E Evans Ave, Seminole, OK 74868-3423 | 2007-05-31 |
| Street Address |
1 WILLIAM WHITE BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932431699 | Ashley Jossendal Swink | Military Health Care Provider | 1 William White Blvd, Pueblo, CO 81001-4829 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932431699 | Ashley Jossendal Swink | Military Health Care Provider | 1 William White Blvd, Pueblo, CO 81001-4829 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255754214 | Lynor Dicang Hardy | Military Health Care Provider | Cheyenne Mountain Air Station, Colorado Springs, CO 80922 | 2014-01-28 |
| 1912243239 | Lerinda Kay Carle | Military Health Care Provider | 6676 Myrtle Creek Dr, Colorado Springs, CO 80927-4034 | 2012-12-13 |
| 1558611103 | Darin Lee Hoki | Military Health Care Provider | 19471 E. Brunswick Dr., Aurora, CO 80013 | 2012-09-11 |
| 1851675011 | Susanne Clariece Fry | Military Health Care Provider | 2540 Brady Dr, Colorado Springs, CO 80917-4021 | 2011-10-06 |
| 1780968859 | Lindsey Shanks | Military Health Care Provider | 30330 Palomino Dr, Evergreen, CO 80439-8602 | 2011-10-06 |
| 1881977312 | Brande Nicole Sims | Military Health Care Provider | 605 Harvest Field Way, Fountain, CO 80817-3185 | 2011-09-21 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1588996243 | Luke William Willis | Military Health Care Provider | 1965 Shawnee Dr, Colorado Springs, CO 80915-1920 | 2010-02-05 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1932342094 | Daniel Luther Green IIi | Military Health Care Provider | 1 Norad Rd, Colorado Springs, CO 80914-6001 | 2009-04-19 |
| Find all providers with the same taxonomy | ||||
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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.