Individual provider Active NPI

Elizabeth Marlowe Dummar

  • Social Worker
  • Rexburg, ID
National Provider Identifier
1104176643
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
58 E 1St N
Rexburg, ID 83440-1505
Phone
(208) 709-0434
Fax
(208) 269-1550
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

58 E 1St N
Rexburg, ID 83440-1505

Mailing address

58 E 1St N
Rexburg, ID 83440-1505
Phone (208) 709-0434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connect With Love LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

534 Trejo St
Ste 200I
Rexburg, ID 83440
Phone (208) 709-0434

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1104176643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 E 1ST N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401505",
            "telephone_number": "208-709-0434",
            "fax_number": "208-269-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E 1ST N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401505",
            "telephone_number": "208-709-0434",
            "fax_number": "208-269-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMMAR",
        "first_name": "ELIZABETH",
        "middle_name": "MARLOWE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.