Individual provider Active NPI

Christine Bulach Fleischman

  • Peer Specialist
  • Toledo, OH
National Provider Identifier
1730799537
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
0001929 Issued in OH
Practice address
1701 West Sylvania Avenue
Toledo, OH 43613
Phone
(216) 208-0634
Fax
(419) 214-0506
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 0001929 OH Primary

Addresses

Primary practice location

1701 West Sylvania Avenue
Toledo, OH 43613

Mailing address

5840 Gany Mede Dr
Toledo, OH 43623-1410
Phone (419) 408-1478

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL KIPUHealth

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

LicenseStateTypeSpecialty
0001929OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1730799537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 GANY MEDE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231410",
            "telephone_number": "419-408-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WEST SYLVANIA AVENUE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43613",
            "telephone_number": "216-208-0634",
            "fax_number": "419-214-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMAN",
        "first_name": "CHRISTINE",
        "middle_name": "BULACH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0001929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KIPUHealth",
            "affiliation": "N",
            "address_1": "1701 West Sylvania Avenue",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.