Active NPI
Katelyn Elaine Dye, APRN
- Primary Care Nurse Practitioner
- Columbus, OH
National Provider Identifier
1023658408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11005716
- Practice address
- 4200 Regent St Ste 200
Columbus, OH 43219-6229 - Phone
- (843) 709-0739
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN11005716 | FL | Primary |
Addresses
Primary practice location
4200 Regent St Ste 200
Columbus, OH 43219-6229
Mailing address
138 Gaillard Rd
Moncks Corner, SC 29461-7325
Phone (843) 709-0739
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005716 | FL | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/21123/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1023658408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 GAILLARD RD",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294617325",
"telephone_number": "843-709-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 REGENT ST STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196229",
"telephone_number": "843-709-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYE",
"first_name": "KATELYN",
"middle_name": "ELAINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11005716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.