Active NPI
Dreanna Rachelle Dyess, HHA
- Community Health Worker
- Canal Winchester, OH
National Provider Identifier
1770868184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 7789 Williamson LN
Canal Winchester, OH 43110-8523 - Phone
- (614) 834-3615
- NPI assigned
- Oct 17, 2011
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
7789 Williamson LN
Canal Winchester, OH 43110-8523
Mailing address
12094 Columbia
Redford, MI 48239-2576
Phone (313) 937-8375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2953406 | Other | OH | IP NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1770868184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12094 COLUMBIA",
"city": "REDFORD",
"state": "MI",
"postal_code": "482392576",
"telephone_number": "313-937-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7789 WILLIAMSON LN",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431108523",
"telephone_number": "614-834-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYESS",
"first_name": "DREANNA",
"middle_name": "RACHELLE",
"name_prefix": "Mrs.",
"credential": "HHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IP NUMBER",
"identifier": "2953406",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.