LETISHA DIXON (NPI# 1902063936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902063936 |
| Entity Type | Individual |
| Full Name | LETISHA DIXON |
| Credential | LPT |
| Practice Address |
16460 Victor St Victorville CA 92395-3918 |
| Practice Telephone | 7602458837 |
| Practice Fax Number | 7602458893 |
| Mailing Telephone | 7602458837 |
| Mailing Fax Number | 7602458893 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 30576 | CA | Nursing Service Providers |
| Street Address |
16460 VICTOR ST |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548453699 | Telecare Corporation | Clinic/Center | 16460 Victor St, Victorville, CA 92395-3918 | 2007-08-22 |
| 1609153261 | Erin-marie Burke | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2011-11-10 |
| 1780961342 | Bryan Resendiz | Counselor | 16460 Victor St, Victorville, CA 92395-3918 | 2011-11-10 |
| 1366736605 | Angela Murphy | Licensed Vocational Nurse | 16460 Victor St, Victorville, CA 92395-3918 | 2011-06-03 |
| 1215245717 | Lannette Hauck | Counselor | 16460 Victor St, Victorville, CA 92395-3918 | 2010-09-17 |
| 1093023590 | Paul Jover | Licensed Vocational Nurse | 16460 Victor St, Victorville, CA 92395-3918 | 2010-09-17 |
| 1659689156 | Robert Harper | Counselor | 16460 Victor St, Victorville, CA 92395-3918 | 2010-09-17 |
| 1508174004 | Demetris Wilson | Counselor | 16460 Victor St, Victorville, CA 92395-3918 | 2010-09-17 |
| 1992013494 | Gerard Palmer | Licensed Vocational Nurse | 16460 Victor St, Victorville, CA 92395-3918 | 2010-09-17 |
| 1366761702 | Michael Martin | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2010-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245545052 | Madai Lopez | Licensed Psychiatric Technician | 13169 Solar Bay Ln, Victorville, CA 92394-9523 | 2010-08-17 |
| 1063865905 | Marlene Garcia | Licensed Psychiatric Technician | 12240 Hesperia Rd, Suite A, Victorville, CA 92395-8309 | 2016-07-15 |
| 1609153261 | Erin-marie Burke | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2011-11-10 |
| 1366761702 | Michael Martin | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2010-05-25 |
| 1740464791 | Darlene Weaver | Licensed Psychiatric Technician | 12625 Hesperia Road, Victorville, CA 92392 | 2007-12-27 |
| 1790968774 | Michelle Collier | Licensed Psychiatric Technician | 16460 Victor St, Victorville, CA 92395-3918 | 2007-12-12 |
| 1205954997 | Tyree Adair | Licensed Psychiatric Technician | 12625 Hesperia Road, Victorville, CA 92392 | 2007-03-27 |
| 1437295268 | Keith Brian Raymond | Licensed Psychiatric Technician | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.