JENNIFER ANN DYSZKIEWICZ MS, ATC, LAT
NPI 1952455537
Specialist in South Bend, IN

Active since January 22, 2007
111 W JEFFERSON BLVD, SUITE 100, SOUTH BEND, IN 46601(574) 289-4764 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Dec 22, 2020 (2 updates tracked since 2020).

About Jennifer Ann Dyszkiewicz Ms, Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ANN DYSZKIEWICZ MS, ATC, LAT (NPI 1952455537) is an individual specialist in South Bend, Indiana, licensed in Indiana (36000645A) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1952455537
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER ANN DYSZKIEWICZCredential: MS, ATC, LAT
Location Address111 W JEFFERSON BLVD, SUITE 100South Bend, IN 46601-1994
Mailing Address1855 Altgeld StSouth Bend, IN 46614-1603
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1952455537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IN · 36000645A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
111 W JEFFERSON BLVD, South Bend, IN 46601

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
111 W JEFFERSON BLVD, STE 100
SOUTH BEND, IN 46601
Specialist/Technologist (Athletic Trainer)
111 W JEFFERSON BLVD, SUITE 100
SOUTH BEND, IN 46601
Family Medicine (Sports Medicine)
111 W JEFFERSON BLVD, STE. 100
SOUTH BEND, IN 46601
Social Worker (Clinical)
111 W JEFFERSON BLVD
SOUTH BEND, IN 46601
Family Medicine (Sports Medicine)
111 W JEFFERSON BLVD, SUITE 100
SOUTH BEND, IN 46601
Acupuncturist
111 W JEFFERSON BLVD, SUITE 100
SOUTH BEND, IN 46601
Specialist/Technologist (Athletic Trainer)
111 W JEFFERSON BLVD
SOUTH BEND, IN 46601
Physical Therapist (Orthopedic)
111 W JEFFERSON BLVD
SOUTH BEND, IN 46601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Dyszkiewicz's NPI number?

The NPI number for Jennifer Dyszkiewicz is 1952455537. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Jennifer Dyszkiewicz located?

Jennifer Dyszkiewicz practices at 111 W Jefferson Blvd Suite 100, South Bend, IN 46601. The listed phone number is (574) 289-4764.

What is Jennifer Dyszkiewicz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Dyszkiewicz was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.