Active NPI
Pamela Dyer, RN-BC
- Adult Psychiatric/Mental Health Registered Nurse
- Brunswick, ME
National Provider Identifier
1710132550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 015100
- Practice address
- 66 Baribeau Dr
Brunswick, ME 04011-3230 - Phone
- (207) 373-6971
- Fax
- (207) 373-6959
- NPI assigned
- Nov 20, 2008
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 015100 | ME | Primary |
Addresses
Primary practice location
66 Baribeau Dr
Brunswick, ME 04011-3230
Mailing address
66 Baribeau Dr
Brunswick, ME 04011-3230
Phone (207) 373-6971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102104100 | Medicaid | ME |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Past | Accepting new patients | |
| Gretchen M Sibley, DO PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
-
- Neuromusculoskeletal Medicine & OMM Physician
- Gypsum, CO
- NPI 1780736363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1710132550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113230",
"telephone_number": "207-373-6971",
"fax_number": "207-373-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113230",
"telephone_number": "207-373-6971",
"fax_number": "207-373-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "PAMELA",
"credential": "RN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "ME",
"license": "015100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102104100",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.