Individual provider Active NPI

Amanda Yvette Bess-Fishel, DC, RBT

  • Behavior Technician
  • Charlotte, NC
National Provider Identifier
1376616748
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-388598 Issued in NC
Practice address
7504 E Independence Blvd Ste 103
Charlotte, NC 28227-9407
Phone
(910) 400-9013
Fax
(888) 783-7611
NPI assigned
Nov 15, 2006
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2325 NC
Behavior Technician 106S00000X RBT-24-388598 NC Primary

Addresses

Primary practice location

7504 E Independence Blvd Ste 103
Charlotte, NC 28227-9407

Mailing address

5604 Timber Falls CT
Waxhaw, NC 28173-7116
Phone (704) 771-9556

Other practice location 1

813 E Roosevelt Blvd Ste K
Monroe, NC 28112-5169
Phone (704) 225-1918

Other identifiers 1

IdentifierTypeStateIssuer
890826VMedicaidNC

Other names 1

  • Dr. Amanda Yvette Bess Professional name

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
RBT-24-388598NCMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bess Chiropractic, PA Chiropractor CurrentSince May 20, 2004 Accepting new patients
Autism Living Experience, LLC Behavior Technician PastSince Dec 8, 2024 Accepting new patients

Locations

813 E Roosevelt Blvd
Ste K
Monroe, NC 28112
Phone (704) 225-1918

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1376616748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 TIMBER FALLS CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737116",
            "telephone_number": "704-771-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 E INDEPENDENCE BLVD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279407",
            "telephone_number": "910-400-9013",
            "fax_number": "888-783-7611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 E Roosevelt Blvd Ste K",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125169",
            "country_code": "US",
            "telephone_number": "704-225-1918",
            "fax_number": "704-225-9719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESS-FISHEL",
        "first_name": "AMANDA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "DC, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2325",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-24-388598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890826V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BESS",
            "middle_name": "YVETTE",
            "prefix": "DR.",
            "credential": "DC, RBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.