Individual provider Active NPI

Tanya Dyer, FNP

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1851568125
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005003861 Issued in NC
Practice address
5045 Hickory Blvd
Hickory, NC 28601-8920
Phone
(828) 212-1020
Fax
(828) 212-1024
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 005003861 NC Primary

Addresses

Primary practice location

5045 Hickory Blvd
Hickory, NC 28601-8920

Mailing address

PO Box 509
Sylva, NC 28779-0509
Phone (828) 339-7268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000565 NC Practitioner - Nurse Practitioner 0143493866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

5045 Hickory Blvd
Hickory, NC 28601-8920
Phone (828) 732-5780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
005003861NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group Inc CurrentSince Dec 10, 2018 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Catawba Valley Medical Group, Inc CurrentSince Dec 10, 2018 Accepting new patients
Catawba Valley Medical Group, Inc Past Accepting new patients
Gaston Family Health Services, Inc. Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

2336 1st Ave SW
Hickory, NC 28602
Phone (828) 431-4988

5045 Hickory Blvd
Hickory, NC 28601
Phone (828) 212-1020

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: tanya.dyer@cvmg.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1851568125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790509",
            "telephone_number": "828-339-7268",
            "fax_number": "828-586-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 HICKORY BLVD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286018920",
            "telephone_number": "828-212-1020",
            "fax_number": "828-212-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "TANYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "005003861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.