Provider Demographics
NPI:1760928899
Name:DIXON, SOCHIA SIMONE (NRCPT, RMA,PD, LE)
Entity Type:Individual
Prefix:
First Name:SOCHIA
Middle Name:SIMONE
Last Name:DIXON
Suffix:
Gender:F
Credentials:NRCPT, RMA,PD, LE
Other - Prefix:
Other - First Name:SOCHIA
Other - Middle Name:SIMONE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NRCPT
Mailing Address - Street 1:1008 TALLWOOD RD APT 2A
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-3526
Mailing Address - Country:US
Mailing Address - Phone:571-377-8381
Mailing Address - Fax:
Practice Address - Street 1:10825 DAISY CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-7260
Practice Address - Country:US
Practice Address - Phone:571-377-8381
Practice Address - Fax:703-366-3836
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA174N00000X, 374J00000X
246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy