Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATANISHA LAVERNE DIXON, BSN, RN, LMT, HNB-BC
ActiveTATANISHA LAVERNE DIXON, BSN, RN, LMT, HNB-BC is a 163WM1400X healthcare provider located in TEMPLE TERRACE, Florida. NPI 1386537090 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · TEMPLE TERRACE, FL
Registration Details
- NPI Number
- 1386537090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2025 (1.247275014006 yrs)
- Last Updated
- May 31, 2025
- Licenses
-
RN9514719 (FL)RN9514719 (FL)MT.0026745 (CO)MA106366 (FL)MA106366 (FL)
Practice Information
- Address
-
10948 N 56TH ST STE 201TEMPLE TERRACE, FL, 336173001Browse FL providers · Browse ZIP 33617
- Phone
- 8133588978
- Primary Specialty
-
163WM1400X
163WM1400X
- Additional Specialty
- Diabetes Educator Nurse
- Additional Specialty
- Massage Therapist
- Additional Specialty
- Massage Therapist
- Additional Specialty
- 163WM1400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.