Maria Nikolova Disheva

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22007613A Issued in IN

Practice address

2010 S Yost Ave
Bloomington, IN 47403-3188

Phone

(812) 822-0605

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Indiana University

  • Audiologist
  • Bloomington, IN
  • NPI 1982693743

  Speech-Language Pathologist

  Medicare reassignment NPD
• Indiana University

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689790552
  NPD
• Kids Play Sensory Gym LLC

  • Clinic/Center
  • Bloomington, IN
  • NPI 1922518463
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1265034706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 E REGENTS CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017131",
            "telephone_number": "808-979-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S YOST AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033188",
            "telephone_number": "812-822-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHEVA",
        "first_name": "MARIA",
        "middle_name": "NIKOLOVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007613A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A'Tyra Nyree Dickens
• Heather A Dickerson, NP
• John Diedrich
• Digestive Diseases Center
• Glen Michael Dimick, CMD
• Cassandra Nicole Dishman-Kessler, DO
• Erica Divine, CNM
• Samantha Jo Divine, PHARMD
• Abigail L Dixon, RBT
• Ramonita Dizon, OTR

• Speech-Language Pathologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.