Lydia Jeanette Van Dyke, APRN CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

25989 Issued in TN

Practice address

1511 Gunbarrel Rd Ste 111
Chattanooga, TN 37421-3897

Phone

(423) 266-6116

Fax

(423) 498-3633

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diana Health TN, PCGroup PAC ID 4688065980, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lydia.van.dyke.1@23211.direct.athenahealth.com

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

• Diana Health TN, PC

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
  • NPI 1457020844

  Advanced Practice Midwife

  Medicare reassignment Care Compare group NPD
• Jack M Rowland, MD, LLC

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
  • NPI 1609095108
  Medicare reassignment NPD
• Caring Choice Women's Center

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
  • NPI 1386840122
  NPD (past)
• Obstetrics & Gynecology of Hixson, PLLC

  • Obstetrics & Gynecology Physician
  • Hixson, TN
  • NPI 1669703849
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1225681695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MCCALLIE AVE STE 310",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032836",
            "telephone_number": "423-266-6116",
            "fax_number": "423-498-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 GUNBARREL RD STE 111",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213897",
            "telephone_number": "423-266-6116",
            "fax_number": "423-498-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 McCallie Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032836",
            "country_code": "US",
            "telephone_number": "423-266-6116 x3",
            "fax_number": "423-498-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "LYDIA",
        "middle_name": "JEANETTE",
        "credential": "APRN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "25989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley View Eye Care, P.C.
• Catherine Ellen Valli, MD
• Barbara Valmont
• Randall Wood Van Dolson, NP
• Katie Van Dyke
• Jessica Sebastian Van Mason, MD
• Lisa-Marie Van Veyeren, MBCHB
• Nicolaas Elmer Van Zyl, DDS
• Donald Wayne Vanarsdale, O.D.
• Bryan Anderson Vance, M.D.

• Advanced Practice Midwife in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Advanced Practice Midwife in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.