Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanda Southard Dixon

Individual provider Family Nurse Practitioner · NPI 1225381767

Shanda Southard Dixon is a Nurse Practitioner in Henderson, Kentucky. Qualified in 2012, 14 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1305 N Elm St
Henderson, KY 42420-2783
Phone: (270) 827-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3007749 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 3007749 (KY)

Record details

NPI number1225381767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2012
Last updated in NPPESMarch 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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