Individual provider Active NPI

Maria Dyer, FNP-BC

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1750804423
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015545 Issued in NC
Practice address
4505 Fair Meadows LN Ste 215
Raleigh, NC 27607-6449
Phone
(919) 944-9935
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704281978 MI
Family Nurse Practitioner 363LF0000X 4704281978 MI
Family Nurse Practitioner 363LF0000X APRN.CNP.022950 OH
Family Nurse Practitioner 363LF0000X 5015545 NC Primary

Addresses

Primary practice location

4505 Fair Meadows LN Ste 215
Raleigh, NC 27607-6449

Mailing address

4505 Fair Meadows LN Ste 215
Raleigh, NC 27607-6449
Phone (919) 944-9935

Other practice location 1

10941 Raven Ridge Rd
Raleigh, NC 27614-6487
Phone (919) 256-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015545NCMDFamily Nurse Practitioner
APRN.CNP.022950OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Medical Xperience CurrentSince Nov 6, 2022 Accepting new patients

Locations

4505 Fair Meadows Ln
Ste 215
Raleigh, NC 27607
Phone (919) 787-7131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1750804423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN STE 215",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076449",
            "telephone_number": "919-944-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN STE 215",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076449",
            "telephone_number": "919-944-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10941 Raven Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276146487",
            "country_code": "US",
            "telephone_number": "919-256-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "MARIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704281978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704281978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022950",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.