Adrienne Michele Dyer-McKimmey, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

018623-1 Issued in NY

Practice address

317 S 16TH St
Allentown, PA 18102-4519

Phone

(973) 632-5827

Fax

(973) 632-5827

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Adrienne Michele Dyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1366619181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 16TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024519",
            "telephone_number": "484-891-0568",
            "fax_number": "484-891-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S 16TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024519",
            "telephone_number": "973-632-5827",
            "fax_number": "973-632-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER-MCKIMMEY",
        "first_name": "ADRIENNE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018623-1",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG003217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "DYER",
            "middle_name": "MICHELE",
            "prefix": "MS.",
            "credential": "L.M.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Allentown, PA
• Providers in Allentown, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.