Individual provider Active NPI

Deborah K Dyar, CRNP

  • Family Nurse Practitioner
  • Haleyville, AL
National Provider Identifier
1891726758
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1 026718 Issued in AL
Practice address
904 26TH St
Haleyville, AL 35565-1719
Phone
(205) 486-5234
Fax
(205) 486-5232
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1 026718 AL Primary

Addresses

Primary practice location

904 26TH St
Haleyville, AL 35565-1719

Mailing address

PO Box 655
Haleyville, AL 35565-0655
Phone (205) 486-5234

Other identifiers 1

IdentifierTypeStateIssuer
000050938MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100812000129 AL Practitioner - Nurse Practitioner 2365544582 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1 026718ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boyde J Harrison MD PC CurrentSince Apr 12, 1999 Accepting new patients
Winston Technology Inc Past Accepting new patients

Locations

904 26th St
Haleyville, AL 35565
Phone (205) 486-5234

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

41896 Highway 195
Haleyville, AL 35565
Phone (205) 486-5234

Interoperability endpoints

  • Direct secure messaging: deborah.dyar@716881743511556.direct.elationemr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891726758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355650655",
            "telephone_number": "205-486-5234",
            "fax_number": "205-486-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 26TH ST",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651719",
            "telephone_number": "205-486-5234",
            "fax_number": "205-486-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAR",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1 026718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000050938",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

Verify at the official NPI Registry.