Active NPI
Kieana Dyson
- Counselor
- Indianapolis, IN
National Provider Identifier
1245698653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000000000
- Practice address
- 1232 N Layman Ave
Indianapolis, IN 46219-3106 - Phone
- (317) 403-7406
- NPI assigned
- Feb 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000000000 | IN | Primary |
Addresses
Primary practice location
1232 N Layman Ave
Indianapolis, IN 46219-3106
Mailing address
1232 N Layman Ave
Indianapolis, IN 46219-3106
Phone (317) 403-7406
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 |
|---|---|---|---|
| 000000000 | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1245698653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 N LAYMAN AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193106",
"telephone_number": "317-403-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 N LAYMAN AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193106",
"telephone_number": "317-403-7406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYSON",
"first_name": "KIEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.