Active NPI
Amber J Dishman, SLP
- Speech-Language Pathologist
- Greenville, OH
National Provider Identifier
1205958592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11442
- Practice address
- 750 Chestnut St
Greenville, OH 45331-1312 - Phone
- (937) 547-8000
- NPI assigned
- Apr 6, 2007
- Last updated
- Jun 9, 2021
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22004236A | IN | MD | Speech-Language Pathologist |
| 11442 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
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- Hartford City, IN
- NPI 1336167378
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.