Darice Diane Dwyer, PHN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R091398-0 Issued in MN

Practice address

616 America Ave NW
Suite #130
Bemidji, MN 56601-3818

Phone

(218) 333-8152

Fax

(218) 333-8160

NPI assigned

Sep 30, 2009

Last updated

Sep 30, 2009By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Beltrami

  • State or Local Public Health Clinic/Center
  • Bemidji, MN
  • NPI 1043281876
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1265766752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 AMERICA AVE NW",
            "address_2": "SUITE #130",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013818",
            "telephone_number": "218-333-8152",
            "fax_number": "218-333-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 AMERICA AVE NW",
            "address_2": "SUITE #130",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013818",
            "telephone_number": "218-333-8152",
            "fax_number": "218-333-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "DARICE",
        "middle_name": "DIANE",
        "credential": "PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R091398-0",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R091398-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8231BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME WEST",
            "identifier": "567553700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billie Jo Dressing, NP-C
• Sheila Marie Dressler, R.PH.
• Franklin G. Drucker, MD
• Arlene Duff
• Kelly Dunsmore, DPT
• Mark S Dwyer, MD
• Eagle Vista Equine Center, Inc. (Eagle Vista Ranch)
• Zabrina Ebert, DO
• Edlund Chiropractic
• Joseph Wade Edlund, D.C.

• Home Health Registered Nurse in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.