DR. REBECCA LUCY DYSON (NPI# 1922003961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922003961 |
| Entity Type | Individual |
| Full Name | DR. REBECCA LUCY DYSON |
| Credential | M.D. |
| Practice Address |
914 Pine St Mount Shasta CA 96067-2143 |
| Mailing Address |
Po Box 1086 Yreka CA 96097-1086 |
| Practice Telephone | 5530926932 |
| Practice Fax Number | 5309269855 |
| Mailing Telephone | 5608427297 |
| Mailing Fax Number | 5308429054 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2017-10-04 |
| NPI Deactivation Date | 03/18/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | G79894 | CA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G798940 | 05 |
| Street Address |
914 PINE ST |
| City | MOUNT SHASTA |
| State | CA |
| Zip Code | 96067-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740338 | Peter Spellman Halt | Radiologic Technologist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2005-06-16 |
| 1598305682 | North State Hospitalist Medical Group, Inc | Hospitalist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2020-01-07 |
| 1508374588 | Jessica Sarah Mead | Speech-Language Pathologist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2018-01-12 |
| 1255865127 | Stefan Swecker | Registered Nurse | 914 Pine St, Mount Shasta, CA 96067-2143 | 2017-04-17 |
| 1154864379 | Richard Ingle Md Inc | Family Medicine | 914 Pine St, Mount Shasta, CA 96067-2143 | 2016-11-19 |
| 1033585583 | Elaine Patterson | Dietitian, Registered | 914 Pine St, Mount Shasta, CA 96067-2143 | 2015-08-19 |
| 1417346552 | Rinnah Macvittie | Nurse Practitioner | 914 Pine St, Mount Shasta, CA 96067-2143 | 2015-01-13 |
| 1790106862 | Parish Anesthesia of California, A Professional Medical Corporation | Nurse Anesthetist, Certified Registered | 914 Pine St, Mount Shasta, CA 96067-2143 | 2013-12-17 |
| 1316389976 | Frank G Laiacona | Pharmacist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2013-07-24 |
| 1316299787 | Mount Eddy Emergency Physicians Medical Group, Inc. | Emergency Medicine | 914 Pine St, Mount Shasta, CA 96067-2143 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786322 | Lynn Louise Lloyd | Acupuncturist | 522 E. Alma St, Mount Shasta, CA 96067 | 2020-06-29 |
| 1356971626 | Insight Wellness Institute | Clinic/Center | 1005 Ream Ave, Mount Shasta, CA 96067 | 2020-01-24 |
| 1720477052 | Mountain Medics Inc | Ambulance | 234 Gateway Park Drive, Mount Shasta, CA 96067 | 2015-01-09 |
| 1093120172 | Diana L Muncy | Counselor | 301 N Mount Shasta Blvd Ste 2, Mount Shasta, CA 96067 | 2014-06-26 |
| 1174851901 | Aaron Michael Stutz | Emergency Medicine | 234 Gateway Park Dr., Mount Shasta, CA 96067 | 2009-12-07 |
| 1487875415 | Blanchard Leroy Foster Jr. | Marriage & Family Therapist | 110 W. Castle Street, Suite 100, Mount Shasta, CA 96067 | 2007-05-01 |
| 1699815639 | Sally Mcfall | Marriage & Family Therapist | 1180-b Mount Shasta Blvd, Mt Shasta, CA 96067 | 2007-02-07 |
| 1174672174 | Anna Klimaszewski | Marriage & Family Therapist | 425 Oakway Rd, Mt Shasta, CA 96067 | 2007-01-09 |
| 1548355969 | John Cunningham | Marriage & Family Therapist | 705 Pine St., Mt Shasta, CA 96067 | 2006-10-03 |
| 1245330844 | Jacqueline Wilkinson Gilbert-parker | Physician Assistant | 822 Pine Street, Mount Shasta, CA 96067 | 2006-09-24 |
| Find all providers in zip 96067 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740338 | Peter Spellman Halt | Radiologic Technologist | 914 Pine St, Mount Shasta, CA 96067-2143 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303665 | Jeffrey Chan | Radiologic Technologist | 2735 Ulloa St, San Francisco, CA 94116-2321 | 2020-07-17 |
| 1275098675 | California Mobile Imaging LLC | Radiologic Technologist | 3649 W Beechwood Ave Ste 106, Fresno, CA 93711-0693 | 2019-02-10 |
| 1669960068 | Tracey Saucier | Radiologic Technologist | 6342 Fallbrook Ave Ste 102, Woodland Hills, CA 91367-1613 | 2018-05-01 |
| 1972090652 | Souk Luangsrinhotha | Radiologic Technologist | 5021 Rosso Ct, Salida, CA 95368-9066 | 2018-04-18 |
| 1013454123 | Thanhtrang Dinh | Radiologic Technologist | 1725 W 17th St Rm 101e, Santa Ana, CA 92706-2316 | 2017-01-26 |
| 1427401512 | Ashim Haydar Ali | Radiologic Technologist | 8900 Thornton Rd Ste 24, Stockton, CA 95209-1820 | 2016-07-13 |
| 1952758963 | Kevin Schuman | Radiologic Technologist | 8042 Tuscany St, Fontana, CA 92336-3800 | 2016-05-19 |
| 1154782373 | Damian Dejesus | Radiologic Technologist | 2204 Auberry Ave, Bakersfield, CA 93304-7268 | 2016-03-15 |
| 1487023149 | Yasuhide Mikami | Radiologic Technologist | 710 E Keats Ave, Fresno, CA 93710-7022 | 2015-09-23 |
| 1518334630 | Hun Choe | Radiologic Technologist | 41 Muirfield, Trabuco Canyon, CA 92679-3421 | 2015-08-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT SHASTA |
| Zip Code | 96067 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.