Individual provider Active NPI

William Bryant Dycus

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1861296808
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38513 Issued in TN
Practice address
228 W 4TH St Ste 200
Cookeville, TN 38501-2489
Phone
(847) 567-2622
NPI assigned
Apr 1, 2025
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38513 TN Primary
Primary Care Nurse Practitioner 363LP2300X APN38513 TN

Addresses

Primary practice location

228 W 4TH St Ste 200
Cookeville, TN 38501-2489

Mailing address

370 S Lowe Ave Ste a-189
Cookeville, TN 38501-4730
Phone (931) 349-5635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250723003833 TN Practitioner - Nurse Practitioner 0840706941 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN38513TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince May 29, 2025 Accepting new patients
Saint Thomas River Park Hospital, LLC Past Accepting new patients

Locations

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

435 Sewell Dr
Sparta, TN 38583
Phone (931) 738-4595

Interoperability endpoints

  • Direct secure messaging: william.dycus.1@7654.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1861296808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S LOWE AVE STE A-189",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014730",
            "telephone_number": "931-349-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 4TH ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012489",
            "telephone_number": "847-567-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCUS",
        "first_name": "WILLIAM",
        "middle_name": "BRYANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38513",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN38513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.