Julie S Dyrek Pmhnp

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

JULIE S DYREK PMHNP

Practice address

651 Connie Dr
Lake Charles, LA 70611-6060

Phone

(337) 274-9175

Fax

(844) 392-7926

NPI assigned

Nov 10, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Dyrek, PMHNPNPI 1427668748

Title

Owner

Phone

(337) 274-9175

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Susann Dyrek, PMHNP-C APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1427668748
  NPD Authorized official

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1306448709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 CONNIE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706116060",
            "telephone_number": "337-274-9175",
            "fax_number": "844-392-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 CONNIE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706116060",
            "telephone_number": "337-274-9175",
            "fax_number": "844-392-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE S DYREK PMHNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "DYREK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-274-9175",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC AND MENTAL HEALTH NURSE PRACTITONER",
            "identifier": "363LP0808X",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin@achanemedicalbilling.com",
            "affiliation": "N",
            "address_1": "651 Connie Dr",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706116060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Clinical Nurse Specialist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.