Individual provider Active NPI

Rebecca Ann Dishman

  • Reflexologist
  • Chesterton, IN
National Provider Identifier
1083160683
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MT21605824 Issued in IN
Practice address
425 Sandcreek Dr N
Suite C
Chesterton, IN 46304-1590
Phone
(219) 926-9779
Fax
(219) 926-9889
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MT21605824 IN Primary

Addresses

Primary practice location

425 Sandcreek Dr N
Suite C
Chesterton, IN 46304-1590

Mailing address

425 Sandcreek Dr N
Suite C
Chesterton, IN 46304-1590
Phone (219) 926-9779

Other names 1

  • Rebecca Ann Farrington Other name

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

LicenseStateTypeSpecialty
MT21605824INMDReflexologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1083160683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SANDCREEK DR N",
            "address_2": "SUITE C",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041590",
            "telephone_number": "219-926-9779",
            "fax_number": "219-926-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SANDCREEK DR N",
            "address_2": "SUITE C",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041590",
            "telephone_number": "219-926-9779",
            "fax_number": "219-926-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "IN",
            "license": "MT21605824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FARRINGTON",
            "middle_name": "ANN",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.