Provider Demographics
NPI:1932573888
Name:NIXON, KRISTIN (HAS, BC-HIS)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:NIXON
Suffix:
Gender:F
Credentials:HAS, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11834 COUNTY ROAD 101
Mailing Address - Street 2:SUITE 203
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-9340
Mailing Address - Country:US
Mailing Address - Phone:352-775-9041
Mailing Address - Fax:352-633-8232
Practice Address - Street 1:11834 COUNTY ROAD 101
Practice Address - Street 2:SUITE 203
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-9340
Practice Address - Country:US
Practice Address - Phone:352-775-9041
Practice Address - Fax:352-633-8232
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS 4871237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist