LUTDAVONE KITTA DIXON APRN-FNP
NPI 1295361665
Nurse Practitioner - Family in Providence, RI

Q: What is Lutdavone Dixon's NPI number?

The NPI number for Lutdavone Dixon is 1295361665. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Q: What is Lutdavone 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 Lutdavone Dixon was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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, 2020PECOS Enrolled

101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1122(401) 453-7571 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Sep 30, 2024, Jun 9, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Lutdavone Kitta Dixon Aprn-fnp NPPES

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

LUTDAVONE KITTA DIXON APRN-FNP (NPI 1295361665) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN02279) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Woonsocket.

NPPES Registry Identity

NPI1295361665

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLUTDAVONE KITTA DIXONCredential: APRN-FNP

Location Address101 DUDLEY STProvidence, RI 02905-2401

Mailing Address101 Dudley StProvidence, RI 02905-2401 · (401) 274-1122 · Fax (401) 453-7571

Phone(401) 274-1122

Fax(401) 453-7571

Sole ProprietorNo

Enumeration DateMarch 18, 2020

Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1295361665 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 RI · APRN02279

101 DUDLEY ST, Providence, RI 02905

Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 Clinton StWoonsocket, RI 02895-3207 · Phone (401) 767-4100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lutdavone Kitta Dixon Aprn-fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER DONALD PALMER DO

Internal Medicine