Active NPI
Emily Ann Dyer
- Athletic Trainer
- Purlear, NC
National Provider Identifier
1497301121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4890
- Practice address
- 246 Mountain Shadows Dr
Purlear, NC 28665-9400 - Phone
- (336) 907-6812
- NPI assigned
- Aug 19, 2019
- Last updated
- Sep 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-4890 | NC | Primary |
Addresses
Primary practice location
246 Mountain Shadows Dr
Purlear, NC 28665-9400
Mailing address
4948 Nottingham Place LN Apt 202
Winston Salem, NC 27106-4895
Phone (336) 907-6812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-4890 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1497301121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4948 NOTTINGHAM PLACE LN APT 202",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064895",
"telephone_number": "336-907-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 MOUNTAIN SHADOWS DR",
"city": "PURLEAR",
"state": "NC",
"postal_code": "286659400",
"telephone_number": "336-907-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "EMILY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purlear, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.