Barbara Petranella Dyer, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2603 Mulberry St
Saint Joseph, MO 64501-2644

Phone

(816) 294-1988

NPI assigned

Mar 25, 2024

Last updated

Apr 15, 2024By the provider in NPPES

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 names 1

• Nellie Dyer Other name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1700636511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 MULBERRY ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012644",
            "telephone_number": "816-294-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 MULBERRY ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012644",
            "telephone_number": "816-294-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "BARBARA",
        "middle_name": "PETRANELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "DYER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurie Dunn, LMSW
• Rachel Ruth Dunston, DNP, APRN, PMHNP-BC
• Emily Paige Duran, APRN
• Shelby L Duran, MSN, RN, AGACNP-BC
• Dva Renal Healthcare Inc (St Joseph Dialysis)
• Bradley R Dyer, M.D.
• East Ridge Investments LLC (Digital Mobile Medical)
• East Ridge Investments LLC (St. Joseph Imaging Center)
• Eastridge Medical Laboratory Inc
• Brent James Eaton, DO

• Student in an Organized Health Care Education/Training Program in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.