Physician Compare National (NPI:1154885531)

HEALTHCARE PROVIDER: KAYCEE NICOLE DIXON FNP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154885531
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931433323
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190618002452
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIXON
	Individual professional last name
Provider First Name	KAYCEE
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MOUNTAIN MEDICAL SERVICES PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2466620711
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2946 WINFIELD DUNN PARKWAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	KODAK
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	377644319
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8654653936
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440081
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LECONTE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y