RAPHILLA D DIXIE NPI 1003465873

NPI Information

NPI: 1003465873
Provider Name: RAPHILLA D DIXIE
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
3005 E STATE BLVD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 267-9498
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Raphilla D Dixie is an addiction (substance use disorder) counselor in Fort Wayne, IN. Raphilla D Dixie NPI is 1003465873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3005 E STATE BLVD
FORT WAYNE, IN
ZIP 46805-736
Phone: (260) 267-9498
Fax: (260) 739-3618

The NPI 1003465873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/5/2019 and was last updated on 4/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87001756A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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