Individual provider Active NPI

Amber J Dishman, SLP

  • Speech-Language Pathologist
  • Greenville, OH
National Provider Identifier
1205958592
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11442 Issued in OH
Practice address
750 Chestnut St
Greenville, OH 45331-1312
Phone
(937) 547-8000
NPI assigned
Apr 6, 2007
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22004236A IN
Speech-Language Pathologist 235Z00000X 11442 OH Primary

Addresses

Primary practice location

750 Chestnut St
Greenville, OH 45331-1312

Mailing address

409 W Canal St # 862
Ansonia, OH 45303-5154
Phone (765) 748-7834

Other practice location 1

409 W Canal St # 718
Ansonia, OH 45303-5154
Phone (937) 303-4644

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22004236AINMDSpeech-Language Pathologist
11442OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Healthstrategies, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1205958592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W CANAL ST # 862",
            "city": "ANSONIA",
            "state": "OH",
            "postal_code": "453035154",
            "telephone_number": "765-748-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CHESTNUT ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311312",
            "telephone_number": "937-547-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Canal St # 718",
            "address_purpose": "LOCATION",
            "city": "Ansonia",
            "state": "OH",
            "postal_code": "453035154",
            "country_code": "US",
            "telephone_number": "937-303-4644",
            "fax_number": "937-637-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "AMBER",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004236A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.