Jessica Rayann Dismang

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

315 N Allen St Apt 2
Crossville, IL 62827-2284

Phone

(618) 380-1452

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Rayann Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1851170716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "CROSSVILLE",
            "state": "IL",
            "postal_code": "628270205",
            "telephone_number": "618-380-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N ALLEN ST APT 2",
            "city": "CROSSVILLE",
            "state": "IL",
            "postal_code": "628272284",
            "telephone_number": "618-380-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISMANG",
        "first_name": "JESSICA",
        "middle_name": "RAYANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEWIS",
            "middle_name": "RAYANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tennille Lynn Browning
• Elizabeth Anne Fortier
• Carson Nicole Lopez, CNA
• Holly Suzanne Moore, MSOTR/L
• Angela Kay Pearson, LPN
• Briley Zayne Tolley, M.S., CF-SLP

• Attendant Care Provider in Crossville, IL
• Providers in Crossville, IL by specialty
• Attendant Care Provider in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.