Active NPI
Deanna Lynn Redfearn
- Driver
- Chillicothe, OH
National Provider Identifier
1578338109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RP123647
- Practice address
- 58 Gettysburg Dr
Chillicothe, OH 45601-7826 - Phone
- (740) 701-5525
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | RP123647 | OH | Primary |
Addresses
Primary practice location
58 Gettysburg Dr
Chillicothe, OH 45601-7826
Mailing address
58 Gettysburg Dr
Chillicothe, OH 45601-7826
Phone (740) 701-5525
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP123647 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1578338109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 GETTYSBURG DR",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456017826",
"telephone_number": "740-701-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 GETTYSBURG DR",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456017826",
"telephone_number": "740-701-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDFEARN",
"first_name": "DEANNA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "OH",
"license": "RP123647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.