MS. NICOLE RAE DIXON (NPI# 1063536472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063536472 |
| Entity Type | Individual |
| Full Name | MS. NICOLE RAE DIXON |
| Credential | B.A. |
| Practice Address |
722 15th Street Nw Bemidji MN 56601 |
| Mailing Address |
Po Box 640 Bemidji MN 56619-0640 |
| Practice Telephone | 2187513280 |
| Practice Fax Number | 2187513298 |
| Mailing Telephone | 2187513280 |
| Mailing Fax Number | 2187513298 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760773154 | Nicole L Dixon | Licensed Practical Nurse | 146 Bennington Hills Court, West Henrietta, NY 14586 | 2011-04-20 |
| 1376197228 | Nicole Lynn Dixon | Pharmacist | 5450 E Busch Blvd, Temple Terrace, FL 33617-5418 | 2019-07-30 |
| 1568976611 | Nicole Rene Dixon | Physical Therapist | 718 S State St, Clarks Summit, PA 18411-1749 | 2017-11-28 |
| 1104281997 | Nicole Dixon | Social Worker | 1140 36th St, Ogden, UT 84403-2050 | 2015-12-21 |
| 1053791814 | Nicole Marie Dixon | Nurse Anesthetist, Certified Registered | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2015-06-05 |
| 1477899888 | Nicole Dixon | Behavioral Analyst | 120 Wyatt Dr., Las Cruces, NM 88005 | 2012-12-13 |
| 1407138183 | Nicole Dixon | Pharmacist | 6671 Covington Hwy, Lithonia, GA 30058-4813 | 2011-09-19 |
| 1417106550 | Nicole M Dixon | Counselor | 501 Biltmore Ave, Suite G276.10, Asheville, NC 28801-4601 | 2008-09-12 |
| 1962658088 | Nicole Margaret Dixon | Pharmacist | 1201 Blair St, Hollidaysburg, PA 16648-2445 | 2008-08-08 |
| 1518926385 | Nicole Guidry Dixon | Speech-Language Pathologist | 17706 I 30, Benton, AR 72015 | 2006-03-21 |
| Street Address |
722 15TH STREET NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356439913 | Upper Mississippi | Case Management | 722 15th Street Nw, Bemidji, MN 56619-0640 | 2006-10-10 |
| 1134218159 | Keisha Rae Mi Ok Hansen | Counselor | 722 15th Street Nw, Bemidji, MN 56601-2190 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154511905 | Colin Michael Heglund | Counselor | 1741 15th St Nw, Bemidji, MN 56601-8755 | 2007-07-27 |
| 1063635217 | Kathleen Mary Irwin | Counselor | 722 15th St., Bemidji, MN 56601 | 2007-04-10 |
| 1326167545 | Daniel T Priewe | Counselor | 722 15th St. Nw, Bemidji, MN 56601 | 2007-03-28 |
| 1326129438 | Sarah Lee Baker | Counselor | 1006 Birchmont Dr Ne, Bemidji, MN 56601-3905 | 2006-10-17 |
| 1326654617 | Samantha Marcinette Evans | Counselor | 4225 Technology Dr Nw, Bemidji, MN 56601-5118 | 2020-09-22 |
| 1558871319 | Ammie Lynn Klein | Counselor | 610 Patriot Dr Nw, Bemidji, MN 56601-4570 | 2017-10-06 |
| 1750819926 | Emily Celeste Barbot | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-31 |
| 1730616962 | Marlin George Farley | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1114454345 | Rylie Dian Helweg | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| 1033646260 | Christopher Lee Slough | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
| Find all providers in BEMIDJI | ||||
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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.