Active NPI
Kerry J Dyer, LMP, LAC
- Acupuncturist
- Olympia, WA
National Provider Identifier
1093906901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACUP.AC.00002782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ACUP.AC.00002782 | WA | MD | Acupuncturist |
| MASS.MA.00011217 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerry J Dyer Lac PLLC | Acupuncturist | Current | 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.
-
- Acupuncturist
- Olympia, WA
- NPI 1619233988
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.