PATRICE DIXON (NPI# 1861898405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861898405 |
| Entity Type | Individual |
| Full Name | PATRICE DIXON |
| Credential | MSW, RCSWI |
| Practice Address |
5151 Eagle Way Crestview FL 32539-5805 |
| Practice Telephone | 8505646968 |
| Mailing Telephone | 8505646968 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ISW9203 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008355300 | 05 |
| Street Address |
5151 EAGLE WAY |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770018210 | Pamela Smith | Counselor | 230 Westview Dr, Crestview, FL 32536-9254 | 2017-04-21 |
| 1184176679 | Christina Paczkowski | Counselor | 6268 Old Bethel Rd, Crestview, FL 32536-5505 | 2016-10-31 |
| 1306254412 | Tonya Nascimento | Counselor | 232 Raptor Dr, Crestview, FL 32536-5298 | 2014-08-01 |
| 1386052595 | Norely Melecio | Counselor | 128 John King Rd, Suite 14, Crestview, FL 32539-5772 | 2014-07-31 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1003820713 | Elizabeth Rita Pixley | Counselor | 259 E Oakdale Ave, Crestview, FL 32539-3547 | 2006-07-28 |
| 1033123955 | Ramona Jeanne Liles-lehnert | Counselor | 1020 S Ferdon Blvd, Crestview, FL 32536-4510 | 2006-07-28 |
| 1417925793 | Equal Hearts, Inc | Counselor | 203 E Chestnut Ave, Crestview, FL 32539-3711 | 2006-03-10 |
| 1891763322 | Bonnie Lee Cox | Counselor | 4449 Straight Line Rd, Crestview, FL 32539-6720 | 2006-03-10 |
| 1942274857 | Randall Richard Leggett | Counselor | 299 Railroad Ave W, Crestview, FL 32548 | 2006-02-15 |
| Find all providers in CRESTVIEW | ||||
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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.