Kaylan Rae Dix, CNP
Nurse Practitioner, Family in Lino Lakes, MN. Individual provider (NPI-1).
NPI number1669014445
StatusActive
Last updated in NPPESOct 12, 2019
Details
- NPI
- 1669014445
- Entity type
- Individual (NPI-1)
- Name
- Kaylan Rae Dix
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2019
- Last updated
- Oct 12, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 6746 | MN | Yes |
Other names
- Kaylan Rae Anderson (Former Name)
Practice location
576 Apollo DrLino Lakes, MN 55014-3004
Phone 651-486-2320
Mailing address
2831 Snelling Ave NRoseville, MN 55113-1712
Phone 651-765-5900
Other practice locations
2831 Snelling Ave N
Roseville, MN 55113-1712
Roseville, MN 55113-1712
Phone 651-765-5900
14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Hugo, MN 55038-4561
Phone 952-853-8800
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Other Family Nurse Practitioner providers in Lino Lakes, MN
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