Carla Dianne Dyer, DNP, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3007520 Issued in KY

Practice address

374 N Ky 7
Sandy Hook, KY 41171

Phone

(606) 738-6163

NPI assigned

Sep 6, 2012

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Kentucky College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pathways IncGroup PAC ID 1254239171, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathways Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1982615043
  Medicare reassignment Care Compare group NPD
• Pathways, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, KY
  • NPI 1609260199
  NPD

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1033468939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N KY 7",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "41171",
            "telephone_number": "606-738-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 N Ky 7",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "KY",
            "postal_code": "41171",
            "country_code": "US",
            "telephone_number": "606-738-6163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "384 County Road 120 S",
            "address_purpose": "LOCATION",
            "city": "South Point",
            "state": "OH",
            "postal_code": "456807807",
            "country_code": "US",
            "telephone_number": "740-894-2080",
            "fax_number": "740-894-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 N Ky 7",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "KY",
            "postal_code": "411717938",
            "country_code": "US",
            "telephone_number": "606-738-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "CARLA",
        "middle_name": "DIANNE",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "357938",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810030197",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074587",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100226930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Spencer Physical Therapy Services, PLLC
• John Brett Dickerson
• Discount Drug Mart, Inc
• Diversicare Leasing Corp. (Elliott Nursing & Rehabilitation Center)
• Dr. Kimberly a. Buckner, P.L.C.
• Kara Elam, RN
• Elliott County Ambulance Service
• Elliott County Health Center
• Elliott County Schools
• Elliott Nursing and Rehabilitation LLC

• Psychiatric/Mental Health Nurse Practitioner in Sandy Hook, KY
• Providers in Sandy Hook, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.