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Chevell Dixon

Physician β€’ Longview, TX

Active NPI 1700377363 Individual Practitioner Female Practitioner
Practice location in NPPES

168 Lonesome Pine Rd
Longview, TX 756057300

Call 9037469033 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

168 Lonesome Pine Rd

Longview, TX 756057300

Telephone 9037469033

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-26
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Day Training, Developmentally Disabled Services

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 26, 2024

Recorded as CHEVELL DIXON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2024

Day Training, Developmentally Disabled Services

βœ…
NPI Profile Active May 19, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 19, 2018

Registered at 168 LONESOME PINE RD, LONGVIEW, TX 756057300 (Tel: 9037469033)

πŸ“
Business Mailing Address (Initial Record) May 19, 2018

Registered at 168 LONESOME PINE RD, LONGVIEW, TX 756057300 (Tel: 9037469033)

πŸ‘€
Provider Name / Credentials (Initial Record) May 19, 2018

Recorded as CHEVELL DIXON, LVN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2018

Assisted Living Facility

🟒
Initial NPI Registration & Enumeration May 19, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700377363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2018
Last Update: July 26, 2024
Sole Proprietor: Yes

Mailing Address

168 Lonesome Pine Rd

Longview, TX 756057300

Phone: 9037469033

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.