Ryan Slade Dykes Sr., FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN 05009 Issued in LA

Practice address

1115 Levee Rd.
Saint Joseph, LA 71366

Phone

(318) 766-1967

NPI assigned

Sep 20, 2006

Last updated

Jan 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive HealthcareGroup PAC ID 0244320562, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHHACD

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.

• Progressive Healthcare

  dba Monroe Medical Clinic

  • General Practice Physician
  • Monroe, LA
  • NPI 1376657817
  Medicare reassignment Care Compare group NPD
• Mobile Medicine, LLC

  • Primary Care Clinic/Center
  • Winnsboro, LA
  • NPI 1497053862
  NPD (past) Authorized official
• Tensas Community Health Center Inc.

  dba Vidalia Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Vidalia, LA
  • NPI 1235600990
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1366549354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 LEVEE RD.",
            "city": "SAINT JOSEPH",
            "state": "LA",
            "postal_code": "71366",
            "telephone_number": "318-766-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LEVEE RD.",
            "city": "SAINT JOSEPH",
            "state": "LA",
            "postal_code": "71366",
            "telephone_number": "318-766-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "RYAN",
        "middle_name": "SLADE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN 05009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Bass, PMHNP
• Edwin G. Blanche, RPH
• Caroline Dixon Carpenter, DNP
• Joe C Florice, FNP
• Franklin Parish Hospital Service Dist 1 (St Joseph Rural Health Clinic)
• Freds Stores of Tennessee Inc (Freds Xpress 3861)
• Henry Dewayne Grandberry
• Kameika Neichelle Green, AGPCNP-BC

• Family Nurse Practitioner in Saint Joseph, LA
• Providers in Saint Joseph, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.