Hannah Dyer, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI 1043192578 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1043192578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 8971766 (ID)
- Practice address
- 1550 N Crestmont Dr Ste a
Meridian, ID 83642-2177 - Phone
- (208) 288-4200
- Fax
- (208) 288-4279
- NPI assigned
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8971766 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Hope Counseling and Wellness LLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8971766 | ID | Yes |
Addresses
Primary practice location
1550 N Crestmont Dr Ste a
Meridian, ID 83642-2177
Mailing address
1550 N Crestmont Dr Ste a
Meridian, ID 83642-2177
Phone (208) 288-4200
Other providers in Meridian, ID
- Judd Alan Durrant
- Mary Grace Duskey
- Maxwell Aristaeus Dusky
- Shane Michael Duty
- Lauren Dye
- Jedidiah Dykstra
- Dynamed Inc
- E Z Transport LLC
- Eagle Anesthesia LLC
- Eagle Eye Surgery and Laser Center LLC
All providers in Meridian, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.