Individual provider Active NPI

Teresa Dyer, C.R.N.P.

  • Family Nurse Practitioner
  • Cockeysville, MD
National Provider Identifier
1306811146
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R076951 Issued in MD
Practice address
10155 York Rd
Ste 200
Cockeysville, MD 21030-3352
Phone
(410) 628-2026
Fax
(410) 667-6834
NPI assigned
Feb 22, 2006
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R076951 MD Primary

Addresses

Primary practice location

10155 York Rd
Ste 200
Cockeysville, MD 21030-3352

Mailing address

10155 York Rd
Ste 200
Cockeysville, MD 21030-3352
Phone (410) 628-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070409000037 MD Practitioner - Nurse Practitioner 6709980303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Apr 8, 2013 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Apr 8, 2013 Accepting new patients
Osler Drive Emergency Physcians Associates, P.a. PastSince Apr 11, 2021 Accepting new patients

Locations

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1306811146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 YORK RD",
            "address_2": "STE 200",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303352",
            "telephone_number": "410-628-2026",
            "fax_number": "410-667-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 YORK RD",
            "address_2": "STE 200",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303352",
            "telephone_number": "410-628-2026",
            "fax_number": "410-667-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R076951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

Verify at the official NPI Registry.