Jenna Dyer

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

1062 State Route 38
Owego, NY 13827-3209

Phone

(607) 687-8611

Fax

(607) 223-7065

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1770028219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 STATE ROUTE 38",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138273209",
            "telephone_number": "607-687-8611",
            "fax_number": "607-223-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 STATE ROUTE 38",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138273209",
            "telephone_number": "607-687-8611",
            "fax_number": "607-223-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "JENNA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Delvecchio, PHARMD
• Rebecka Deretz, LMSW
• Kimberly Anne Derouchie
• Louise Dorsey
• Michelle Lee Dunham, CASAC
• Benish Farouqi, LMSW
• Christine L. Fay, LMSW
• Meagan Ferguson
• Eric Field, PHARMD
• Lisa Marie Florance-Diaz, MSW

• Early Intervention Provider Agency in Owego, NY
• Providers in Owego, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.