Individual provider Active NPI

Whitney Dyer

  • Family Nurse Practitioner
  • Addison, AL
National Provider Identifier
1083374037
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-154427 Issued in AL
Practice address
16356 County Road 41
Addison, AL 35540-2416
Phone
(256) 747-1186
NPI assigned
Dec 17, 2021
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-154427 AL Primary

Addresses

Primary practice location

16356 County Road 41
Addison, AL 35540-2416

Mailing address

16356 County Road 41
Addison, AL 35540-2416
Phone (256) 747-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20220526000423 AL Practitioner - Nurse Practitioner 8224416672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
James Enterprises, LLCGroup PAC ID 1658555933, 3 clinicians

Practice addresses (Care Compare)

16356 County Rd 41
Addison, AL 35540-2416
Phone (256) 747-1186

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haleyville Medical Associates Inc CurrentSince May 20, 2022 Accepting new patients
James Enterprises, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

6638 County Road 41
Arley, AL 35541
Phone (205) 724-9975

26279 Highway 195
Double Springs, AL 35553
Phone (205) 489-3322

42320 Highway 195
Haleyville, AL 35565
Phone (205) 269-1199

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1083374037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16356 COUNTY ROAD 41",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355402416",
            "telephone_number": "256-747-1186",
            "fax_number": "701-738-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16356 COUNTY ROAD 41",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355402416",
            "telephone_number": "256-747-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-154427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, AL

Sources for this page

Verify at the official NPI Registry.