Jennifer Dy

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

153 N U St
Fresno, CA 93701-2438

Phone

(559) 445-9094

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

No

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.

• Crestwood Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1093892663
  NPD (past)
• Fresno County Crestwood Fresno Bridge

  • Psychiatric Residential Treatment Facility
  • Fresno, CA
  • NPI 1558499749
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2024.

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1144037243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 PEACH AVE APT 55",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123571",
            "telephone_number": "559-931-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N U ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012438",
            "telephone_number": "559-445-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc
• Dva Renal Healthcare Inc
• Dwayne R Depry DO Inc
• Dwight W Sievert MD Inc
• Theresa Ann Dwyer
• Joevy Ronny Dy
• Cole Dyar
• Justin Arceo Dychioco, M.D.
• Dycora Transitional Health - Community Care LLC
• Dycora Transitional Health - Fresno LLC

• All providers in Fresno, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.