Carly Dyer, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

95362712 Issued in CA

Practice address

17634 Owen CT
Fontana, CA 92335-3711

Phone

(909) 684-3257

NPI assigned

Jan 12, 2024

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1881465243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 N GRAPEWOOD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773651",
            "telephone_number": "909-684-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17634 OWEN CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353711",
            "telephone_number": "909-684-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "CARLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95362712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maegen Victoria Dupper, MD
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• Luis Duran
• Durban Investment Inc.
• Naomi J Duvernay
• Leodegard Dyoco, R.P.T.
• Vanessa Dyoco, COTA
• Eagle Eye Imaging
• Carmen Dionne Early, SUDRC 15389
• Renee M Echandi, PA

• Home Health Registered Nurse in Fontana, CA
• Providers in Fontana, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.