Adalea Pearl Dyer

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

TK798136 Issued in OH

Practice address

625 Eagle Walk Rd
Delaware, OH 43015-7246

Phone

(614) 906-8786

NPI assigned

Dec 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1861089518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 GEORGETOWN DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151532",
            "telephone_number": "419-731-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 EAGLE WALK RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157246",
            "telephone_number": "614-906-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ADALEA",
        "middle_name": "PEARL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "TK798136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "TK798136",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Dubil
• Brant Duncan
• Gary James Duncan, MD
• Joseph Patrick Dunson, LPCC-S
• Hannah Dwumah, RN
• Chad E Dyer, CRNA
• John Patrick Early, LISW
• William Easterday
• Xavier Echenrode
• Greg Eckert

• Community Health Worker in Delaware, OH
• Providers in Delaware, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.