Active NPI
Judy Lynn Dye, N.P.
- Adult Health Nurse Practitioner
- San Diego, CA
National Provider Identifier
1487640686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN 345111
- Practice address
- 6973 Linda Vista Rd
San Diego, CA 92111-6339 - Phone
- (858) 279-0925
- NPI assigned
- Sep 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN 345111 | CA | Primary |
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | RN345111 | CA |
Addresses
Primary practice location
6973 Linda Vista Rd
San Diego, CA 92111-6339
Mailing address
4580 47TH St
San Diego, CA 92115-3207
Phone (619) 640-3066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 345111 | CA | MD | Adult Health Nurse Practitioner |
| RN345111 | CA | MD | Critical Care Medicine Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1487640686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 47TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153207",
"telephone_number": "619-640-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6973 LINDA VISTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116339",
"telephone_number": "858-279-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYE",
"first_name": "JUDY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "RN 345111",
"primary": true
},
{
"code": "364SC0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Critical Care Medicine",
"state": "CA",
"license": "RN345111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.