Creole Marie Dycus, FNP, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000360A Issued in IN

Practice address

11845 Allisonville Rd
Fishers, IN 46038-2313

Phone

(317) 842-2727

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Rohrer Family Clinic,Inc

  • Family Medicine Physician
  • Vincennes, IN
  • NPI 1053591370
  NPD (past)
• Vincennes Orthopaedic Surgery Clinic, Inc

  • Durable Medical Equipment & Medical Supplies
  • Vincennes, IN
  • NPI 1316088933
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1689643538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 SHOREVIEW LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368625",
            "telephone_number": "317-823-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382313",
            "telephone_number": "317-842-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCUS",
        "first_name": "CREOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000360A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11446468",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Durant, MS PT
• Tammy N Durham-Boring, DO
• Kahlayla Durham
• Sujaata Dwadasi, M.D.
• Molly Elizabeth Dwenger, DDS
• Thomas Dye
• James Dyer
• Kaleb Dyer, BCBA
• Bailey David Dyke
• E&K Detailing and Auto (E&K Logistics)

• Family Nurse Practitioner in Fishers, IN
• Providers in Fishers, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.