JESSICA ANNETTE DIXON-TATUM (NPI# 1033757877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033757877 |
| Entity Type | Individual |
| Full Name | JESSICA ANNETTE DIXON-TATUM |
| Practice Address |
401 N 6th St Buckeye AZ 85326-2415 |
| Practice Telephone | 6236988210 |
| Practice Fax Number | 6024554624 |
| Mailing Telephone | 6236988210 |
| Mailing Fax Number | 6024554624 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
8900919 | AZ | Respite Care Facility |
| Y | 253J00000X | Foster Care Agency | 8900919 | AZ | Agencies |
| Street Address |
401 N 6TH ST |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85326-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609225 | Dawn Vetro | Social Worker | 26428 Mc 85, Buckeye, AZ 85326 | 2020-05-06 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| 1790269256 | Pathbuilders Counseling Services, Inc | Marriage & Family Therapist | 1300 N. Miller Road, Buckeye, AZ 85326 | 2018-09-20 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1548785884 | Az Comfort Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23832 W Tonto Street, Buckeye, AZ 85326 | 2017-08-08 |
| 1992227300 | Elias Linn IIi | Pharmacist | 1060 S. Watson Rd, Buckeye, AZ 85326 | 2017-07-07 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| 1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1992187124 | Anita Morgan | Social Worker | 389 S 228th Lane, Buckeye, AZ 85326 | 2015-06-24 |
| Find all providers in zip 85326 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984856 | Mount Zion New Beginnings LLC | Foster Care Agency | 30401 W Vale Dr, Buckeye, AZ 85396-6630 | 2020-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152916 | Elvis W Dickson | Foster Care Agency | 4539 S St Claire, Mesa, AZ 85212-5239 | 2020-10-24 |
| 1689272619 | Duduyemi Sagay | Foster Care Agency | 2747 E Clifton Ave, Gilbert, AZ 85295-2308 | 2020-10-12 |
| 1346851771 | Caring for Angels, LLC | Foster Care Agency | 8238 W Cactus Rd Ste 100, Peoria, AZ 85381-5228 | 2020-08-10 |
| 1639792120 | The House of El Elyon | Foster Care Agency | 58 N 88th Way, Mesa, AZ 85207-8714 | 2020-05-19 |
| 1023666997 | Michelle Murie | Foster Care Agency | 567 Whistle Stop Rd, Clarkdale, AZ 86324-3374 | 2019-09-03 |
| 1437611969 | Leslie Howard | Foster Care Agency | 915 W Alta Vista Rd Apt 1042, Phoenix, AZ 85041-5648 | 2019-04-03 |
| 1982177689 | Thad Malik | Foster Care Agency | 1708 Sequoia Dr, Prescott, AZ 86301-1243 | 2019-01-04 |
| 1417433376 | Douglas Hoskins | Foster Care Agency | 5260 N Western Blvd, Prescott Valley, AZ 86314-4251 | 2018-07-13 |
| 1033644364 | Higher Rock Homes, Inc. | Foster Care Agency | 25447 N 40th Ln, Phoenix, AZ 85083-2437 | 2017-04-24 |
| 1972048312 | Safeway Angels Youth Facility LLC | Foster Care Agency | 231 S Mission Abo Ln, Casa Grande, AZ 85194-8549 | 2016-12-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA ANNETTE DIXON-TATUM.
| 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.