Active NPI
Rachel Dawson
- Student in an Organized Health Care Education/Training Program
- Ransom, IL
National Provider Identifier
1114482205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2843 E Il Route 170
Ransom, IL 60470-8055 - Phone
- (815) 257-4454
- NPI assigned
- Feb 4, 2019
- Last updated
- Feb 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
2843 E Il Route 170
Ransom, IL 60470-8055
Mailing address
2843 E Il Route 170
Ransom, IL 60470-8055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D250-7329-8950 | Other | IL | DRIVER'S LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1114482205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 E IL ROUTE 170",
"city": "RANSOM",
"state": "IL",
"postal_code": "604708055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2843 E IL ROUTE 170",
"city": "RANSOM",
"state": "IL",
"postal_code": "604708055",
"telephone_number": "815-257-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "D250-7329-8950",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ransom, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.