Active NPI
Heather Celeste Dyer, NP
- Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1609374552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP136287
- Practice address
- 1633 Rogers Rd
Fort Worth, TX 76107-6513 - Phone
- (682) 707-9691
- NPI assigned
- Jan 25, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP136287 | TX | Primary |
Addresses
Primary practice location
1633 Rogers Rd
Fort Worth, TX 76107-6513
Mailing address
2560 Greene Ave
Fort Worth, TX 76109-1107
Phone (682) 215-2020
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136287 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1609374552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 GREENE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091107",
"telephone_number": "682-215-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 ROGERS RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076513",
"telephone_number": "682-707-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "HEATHER",
"middle_name": "CELESTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP136287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.