Pearl Dykes

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4007219 Issued in KY

Practice address

186 W Barbee St
Columbia, KY 42728-2230

Phone

(727) 373-8358

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1760003487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 W BARBEE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282230",
            "telephone_number": "727-373-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W BARBEE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282230",
            "telephone_number": "727-373-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "PEARL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "KY",
            "license": "50210338",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "4007219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4007219",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50210338",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max Mitchell Downey, OD
• Dr. Phil Aaron Medical Center, PLLC
• Joan Carol Dulworth, L.M.T.
• Tonya Dunn, LPCC
• Jason Durbin
• Stephanie Dawn Dykes
• Wendy Dykes, SLP
• Alisha Eads
• Olivia Sharlene Eason, PHARMD
• Eubank Inc (Medicine Shoppe)

• Licensed Practical Nurse in Columbia, KY
• Providers in Columbia, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.