Individual provider Active NPI

Dana C. Wyatt, APRN

  • Nurse Practitioner
  • Cynthiana, KY
National Provider Identifier
1407215692
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010073 Issued in KY
Practice address
1210 Ky Highway 36 E Ste 2C
Cynthiana, KY 41031-7492
Phone
(859) 234-6000
Fax
(859) 234-6011
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010073 KY Primary

Addresses

Primary practice location

1210 Ky Highway 36 E Ste 2C
Cynthiana, KY 41031-7492

Mailing address

1210 Ky Highway 36 E Ste 2C
Cynthiana, KY 41031-7492
Phone (859) 234-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160308002119 KY Practitioner - Nurse Practitioner 4688970296 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Memorial Hospital Inc CurrentSince Jul 9, 2022 Accepting new patients
Harrison Memorial Hospital CurrentSince Jul 9, 2022 Accepting new patients
Harrison Memorial Hospital CurrentSince Jul 9, 2022 Accepting new patients

Locations

254 E Main St
Carlisle, KY 40311
Phone (859) 289-6311

1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222

1210 KY Highway 36 E
Ste G4
Cynthiana, KY 41031
Phone (859) 234-9955

809 US Highway 27 S
Ste 107
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Ste 2C
Cynthiana, KY 41031
Phone (859) 234-6000

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494

1210 KY Highway 36 E
#G341B
Cynthiana, KY 41031

1102 W Shelby St
Falmouth, KY 41040
Phone (859) 654-3232

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1407215692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE 2C",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317492",
            "telephone_number": "859-234-6000",
            "fax_number": "859-234-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE 2C",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317492",
            "telephone_number": "859-234-6000",
            "fax_number": "859-234-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "DANA",
        "middle_name": "C.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.