Dixie Autum Rochester in Tyler - Nurse Practitioner
Dixie Autum Rochester - NPI 1790707255
Dixie Autum Rochester is a Nurse Practitioner in Tyler, Texas. Dixie Autum Rochester practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Dixie Autum Rochester is 1790707255. The last update date is 2023-02-23.
Dixie Autum Rochester's current location address is 703 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9036062830. The mailing address for Dixie Autum Rochester is 703 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dixie Autum Rochester |
|---|---|
| Address | 703 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9036062830 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN, BSN, N |
NPI Number Detail
| NPI Number | 1790707255 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2023-02-23 |
Provider Mailing Address Detail
| Address | 703 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012015 |
| Phone Number | 9036062830 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 679723 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45-5720165 | TX | TRICARE | |
| 75-2616977-123 | TX | TRICARE | |
| 8748MC | TX | BCBS | |
| 190351005 | TX | -- | |
| 8858NH | TX | BCBS | |
| 75-2616977-120 | TX | TRICARE | |
| 190351006 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dixie Autum Rochester by the Centers for Medicare & Medicaid Services?
The Dixie Autum Rochester has been issued the NPI (National Provider Identifier) 1790707255, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dixie Autum Rochester is physically located?
The Dixie Autum Rochester is situated at the following address: 703 S Fleishel Ave, Tyler, TX 757012015.
What is Dixie Autum Rochester's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dixie Autum Rochester is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Dixie Autum Rochester receive the assignment of its 1790707255 from the Centers for Medicare & Medicaid Services?
The Dixie Autum Rochester was issued its 1790707255 by the Centers for Medicare & Medicaid Services on 2006-07-24.
When was the information related to Dixie Autum Rochester most recently updated or refreshed?
The details pertaining to the Dixie Autum Rochester, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-23.