Dawn Suzanne Amaral

Key facts

NPI

1821782970

Entity type

Individual (NPI type 1)

Primary specialty

Rehabilitation Practitioner 225400000X

Practice address

780 S Dora St
Ukiah, CA 95482-5348

Phone

(707) 467-9065

Fax

(833) 895-1442

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other names

• Dawn Chance Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2024.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1821782970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954822077",
            "telephone_number": "707-467-2010",
            "fax_number": "833-895-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825348",
            "telephone_number": "707-467-9065",
            "fax_number": "833-895-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARAL",
        "first_name": "DAWN",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "CHANCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Ukiah, CA · Rehabilitation Practitioner in California