Individual provider Active NPI

Christy Marie Dyer, FNP-BC

  • Family Nurse Practitioner
  • O'Fallon, MO
National Provider Identifier
1184895690
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
079499 Issued in MO
Practice address
2920 Highway K
O Fallon, MO 63368-7861
Phone
(866) 825-3227
NPI assigned
Mar 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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 079499 MO Primary

Addresses

Primary practice location

2920 Highway K
O Fallon, MO 63368-7861

Mailing address

3938 Rhine CT
Saint Charles, MO 63304-1465
Phone (636) 939-4945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 1, 2016 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Aug 27, 2018 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1475 Kisker Rd
Saint Charles, MO 63304
Phone (636) 498-7400

10700 Manchester Rd
Ste E
Saint Louis, MO 63122
Phone (314) 428-9541

11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543

8820 Manchester Rd
Saint Louis, MO 63144
Phone (314) 963-8100

Organizations & group practices 3

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": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1184895690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 RHINE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041465",
            "telephone_number": "636-939-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "866-825-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "079499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.