Individual provider Active NPI

Garrett Dyer, FNP-C

  • Family Nurse Practitioner
  • Spring Branch, TX
National Provider Identifier
1366269508
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1175640 Issued in TX
Practice address
18568 Forty Six Pkwy Ste 1001
Spring Branch, TX 78070-6878
Phone
(830) 438-9300
NPI assigned
Sep 19, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 1175640 TX Primary

Addresses

Primary practice location

18568 Forty Six Pkwy Ste 1001
Spring Branch, TX 78070-6878

Mailing address

134 Boulder CRK
Boerne, TX 78006-2887
Phone (512) 466-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241206000288 TX Practitioner - Nurse Practitioner 5193251726 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1175640TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Wellness Clinic Alamo Ranch PLLC Single Specialty CurrentSince Nov 8, 2025 Accepting new patients
Mercy Wellness, PLLC Single Specialty CurrentSince Sep 19, 2024 Accepting new patients

Locations

18568 Forty Six Pkwy
Ste 1001
Spring Branch, TX 78070
Phone (830) 438-9300

18568 Forty Six Pkwy
Ste 3001
Spring Branch, TX 78070
Phone (830) 438-9300

Interoperability endpoints

  • Direct secure messaging: garrett.dyer.1@27446.direct.athenahealth.com

Organizations & group practices 2

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1366269508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BOULDER CRK",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062887",
            "telephone_number": "512-466-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY STE 1001",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706878",
            "telephone_number": "830-438-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "GARRETT",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1175640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

Verify at the official NPI Registry.