MRS. KENYATTA DIXON (NPI# 1801436605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801436605 |
| Entity Type | Individual |
| Full Name | MRS. KENYATTA DIXON |
| Credential | CRNP |
| Practice Address |
700 Hyundai Blvd Montgomery AL 36105-9622 |
| Mailing Address |
7367 Heathermoore Loop Montgomery AL 36117-7494 |
| Practice Telephone | 3343878242 |
| Practice Fax Number | 3343878247 |
| Mailing Telephone | 3346570218 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-120644 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 HYUNDAI BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36105-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962434027 | Steven E Cox | Nurse Practitioner | 700 Hyundai Blvd, Montgomery, AL 36105-9622 | 2006-07-07 |
| 1639530835 | Progressivehealth, LLC | Clinic/Center | 700 Hyundai Blvd, Montgomery, AL 36105-9622 | 2016-03-15 |
| 1033515663 | Laura E Ostrye | Contractor | 700 Hyundai Blvd, Montgomery, AL 36105-9622 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720178114 | Trehran Taylor | Pharmacist | 3000 Rosa Parks Avenue, Montgomery, AL 36105 | 2006-10-13 |
| 1659317089 | Garlette B Jackson | Nurse Practitioner | 1729 Pine Street, Emergency Room C/o Dr. Steve O'mara, Montgomery, AL 36105 | 2006-06-22 |
| 1760694905 | Personal Touch Home Care of Mo, Inc. | Respite Care | 141 North Meramac, #317, Clayton, MO 36105 | 2007-05-03 |
| 1740376128 | Albert Eugene Lester | Internal Medicine | 3091 Gaston Ave, Suite B, Montgomery, AL 36105 | 2006-10-05 |
| 1417257270 | Marguerite J. Barber-owens | Internal Medicine | 3091 Gaston Ave, Suite C, Montgomery, AL 36105-1500 | 2010-10-27 |
| 1699878314 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3000 Rosa L Parks Ave, Montgomery, AL 36105-1502 | 2006-09-07 |
| 1437191186 | Marguerite J Barber-owens | Internal Medicine | 3091 Gaston Ave, Suite C, Montgomery, AL 36105-1515 | 2006-06-10 |
| 1548605389 | Albert E. Lester M.d., P.a. | Internal Medicine | 3091 Gaston Ave Ste B, Montgomery, AL 36105-1541 | 2013-05-07 |
| 1982172367 | Health Services, Inc | Clinic/Center | 3350 S Court St, Montgomery, AL 36105-1606 | 2018-11-05 |
| 1700348364 | Antuan Dejesus | Driver | 3433 S Court St, Montgomery, AL 36105-1607 | 2019-04-03 |
| Find all providers in zip 36105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36105 |
Please comment or provide details below to improve the information on MRS. KENYATTA DIXON.
| 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.