Nakisha Dyson
Individual provider Active NPI Registered Nurse · Byron, MN
NPI 1093659542 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1093659542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2531580 (MN)
- Practice address
- 543 15TH Ave NE
Byron, MN 55920-6067 - Phone
- (414) 202-6290
- NPI assigned
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2531580 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2531580 | MN | Yes |
Addresses
Primary practice location
543 15TH Ave NE
Byron, MN 55920-6067
Mailing address
543 15TH Ave NE
Byron, MN 55920-6067
Phone (414) 202-6290
Other providers in Byron, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. 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.