JEROME ANTHONY DIXON D O P S C (NPI# 1750785150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750785150 |
| Entity Type | Organization |
| Organization Name | JEROME ANTHONY DIXON D O P S C |
| Other Organization Name | CROSSROAD FAMILY MEDICINE |
| Practice Address |
150 W Bear Track Rd Campbellsville KY 42718-8709 |
| Practice Telephone | 2704658133 |
| Practice Fax Number | 2707891543 |
| Mailing Telephone | 2704658133 |
| Mailing Fax Number | 2707891543 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | MRS. GERRI MONHOLLEN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8595251459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1071186 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 3007692 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Crossroad Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508932955 | Jerome Anthony Dixon D O P S C | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2006-11-28 |
| Street Address |
150 W BEAR TRACK RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215919451 | Jerome Anthony Dixon | Neuromusculoskeletal Medicine & OMM | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2005-11-15 |
| 1235695677 | Lori Ann Jackson | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2019-02-11 |
| 1649671827 | Premiertox 2.0 Inc. | Clinical Medical Laboratory | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2014-09-08 |
| 1942540984 | Crossroads Family Medicine | Preventive Medicine | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2013-02-28 |
| 1508932955 | Jerome Anthony Dixon D O P S C | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568960748 | Courtney Reynolds Bowling | Nurse Practitioner | 73 Kingswood Dr, Campbellsville, KY 42718 | 2018-01-23 |
| 1386816973 | Bobby J. Brooks, M.d. | Nurse Practitioner | 127 Kingswood Dr, Campbellsville, KY 42718-9634 | 2008-03-24 |
| 1689701997 | Central Kentucky Surgical Services LLC | Nurse Practitioner | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2007-02-27 |
| 1659434280 | Tammy B Harris | Nurse Practitioner | 67 Kingswood Dr, Suite 95, Campbellsville, KY 42718-9647 | 2006-12-18 |
| 1831160845 | Amy L Beard | Nurse Practitioner | 1698 Old Lebanon Rd, Suite 3b, Campbellsville, KY 42718-9662 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1902404759 | Cassie Parr | Nurse Practitioner | 57 Melissa Branch Rd, Ary, KY 41712-8716 | 2020-10-14 |
| 1649877275 | Kristy Faith Statzer | Nurse Practitioner | 7533 Russellville Rd, Morgantown, KY 42261-9625 | 2020-10-06 |
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1588274161 | Karyn Michele Bentley | Nurse Practitioner | 210 Hoagland Hill Rd, Mount Washington, KY 40047-7583 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.