Nakeetsha Dryer, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-125457 Issued in AL

Practice address

207 Gault Ave S Ste B
Fort Payne, AL 35967-1902

Phone

(256) 637-3840

Fax

(256) 300-2252

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Behavioral Health Services

  • Clinical Social Worker
  • Fort Payne, AL
  • NPI 1326802166

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1518217876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357580711",
            "telephone_number": "601-918-4866",
            "fax_number": "256-883-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GAULT AVE S STE B",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359671902",
            "telephone_number": "256-637-3840",
            "fax_number": "256-300-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 College St W",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373342957",
            "country_code": "US",
            "telephone_number": "423-897-9386",
            "fax_number": "256-300-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Airport Rd SW Ste 204",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358021394",
            "country_code": "US",
            "telephone_number": "256-883-7031",
            "fax_number": "256-883-7032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRYER",
        "first_name": "NAKEETSHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-125457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Drayer Physical Therapy Alabama LLC
• Jerry Lynn Earnest, CRNA
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• Yulanda Carol Elliott, FNP-C
• James Bradley Ellis, LICSW
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• Psychiatric/Mental Health Nurse Practitioner in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.

Verify at the official NPI Registry.