Individual provider Active NPI

Kerry J Dyer, LMP, LAC

  • Acupuncturist
  • Olympia, WA
National Provider Identifier
1093906901
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACUP.AC.00002782 Issued in WA
Practice address
1700 Cooper Point Rd SW Ste B3
Olympia, WA 98502-1110
Phone
(360) 350-6610
Fax
(360) 299-5177
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MASS.MA.00011217 WA
Acupuncturist 171100000X ACUP.AC.00002782 WA Primary

Addresses

Primary practice location

1700 Cooper Point Rd SW Ste B3
Olympia, WA 98502-1110

Mailing address

2508 66TH Ave NE
Olympia, WA 98506-1505
Phone (360) 951-3337

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACUP.AC.00002782WAMDAcupuncturist
MASS.MA.00011217WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kerry J Dyer Lac PLLC Acupuncturist CurrentSince Nov 9, 2021 Accepting new patients

Locations

1820 Black Lake Blvd SW
Ste 101
Olympia, WA 98512
Phone (360) 545-3259

1700 Cooper Point Rd SW
Ste B3
Olympia, WA 98502
Phone (360) 350-6610

221 Kenyon St NW
Ste 103
Olympia, WA 98502
Phone (360) 705-1133

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1093906901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 66TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985061505",
            "telephone_number": "360-951-3337",
            "fax_number": "360-299-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COOPER POINT RD SW STE B3",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021110",
            "telephone_number": "360-350-6610",
            "fax_number": "360-299-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "KERRY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LMP, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MASS.MA.00011217",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "ACUP.AC.00002782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.