Shirilyn Monique Dykes

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

1002219 Issued in TX

Practice address

2063 Crennan LN Ste C
Hearne, TX 77859-2094

Phone

(979) 814-0420

Fax

(979) 279-9492

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1194296236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778591011",
            "telephone_number": "979-814-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 CRENNAN LN STE C",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778592094",
            "telephone_number": "979-814-0420",
            "fax_number": "979-279-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "SHIRILYN",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "1002219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Calame
• Steven Marc Catalina, D.C.
• Zbigniew Chmielewski, M.D.
• Coryell County Memorial Hospital Authority (Hearne Healthcare Center)
• DCS Medical PA (Integrity Urgent Care)
• Fannin County Hospital Authority (Avir at Hearne)
• Jacquatta Garland, LVN
• Dianne Gradington, LCDC
• Cassandra Hammond
• Healthwise Hospice (River Brazos LLC)

• Prosthetics Case Management in Hearne, TX
• Providers in Hearne, TX by specialty
• Prosthetics Case Management in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.