Active NPI
Christina Dison
- Social Worker
- Ruston, LA
National Provider Identifier
1083029847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11424
- Practice address
- 617 S Trenton St
Ruston, LA 71270-5040 - Phone
- (318) 251-4659
- Fax
- (318) 251-4659
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11424 | LA | Primary |
Addresses
Primary practice location
617 S Trenton St
Ruston, LA 71270-5040
Mailing address
617 S Trenton St
Ruston, LA 71270-5040
Phone (318) 251-4659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24680 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11424 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Counseling | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Ruston, LA
- NPI 1588973176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1083029847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 S TRENTON ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705040",
"telephone_number": "318-251-4659",
"fax_number": "318-251-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 S TRENTON ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705040",
"telephone_number": "318-251-4659",
"fax_number": "318-251-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISON",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "11424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24680",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
- Department of Health and Hospitals (OBH-Ruston Addictive Disorders Clinic)
- Brittany Diez
- Dillingham Optical of Ruston, Inc
- Andrea D Dillon
- Layne Dishman
- Gretchen Senn Dison, MA, LPC
- Jennifer Lynn Ditter, MA, NCC, LPC-S
- Divine Companion Care Services
- Divine Health Primary Care Clinic, LLC (Divine Health and Primary Care Clinic)
- Shiki Tywan Dixon, M. A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.