CAROLYN DAWN DIXON FNP
NPI 1134512908
Nurse Practitioner - Family in Staten Island, NY

Q: What is Carolyn Dixon's NPI number?

The NPI number for Carolyn Dixon is 1134512908. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Q: What is Carolyn Dixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Dixon was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2015

200 EGBERT AVE, STATEN ISLAND, NY 10310(917) 445-5772 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carolyn Dawn Dixon Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN DAWN DIXON FNP (NPI 1134512908) is an individual family provider in Staten Island, New York, licensed in New York (339479) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1134512908

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAROLYN DAWN DIXONCredential: FNP

Location Address200 EGBERT AVEStaten Island, NY 10310-2622

Mailing Address200 Egbert AveStaten Island, NY 10310-2622 · (917) 445-5772

Phone(917) 445-5772

Sole ProprietorNo

Enumeration DateMarch 18, 2015

✔ NPI 1134512908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 339479

200 EGBERT AVE, Staten Island, NY 10310

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Dixon's NPI number?

The NPI number for Carolyn Dixon is 1134512908. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Carolyn Dixon located?

Carolyn Dixon practices at 200 Egbert Ave, Staten Island, NY 10310. The listed phone number is (917) 445-5772.

What is Carolyn Dixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Carolyn Dixon was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.