Individual provider Active NPI

Nancy Katherine Dye, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1912049271
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10020464 Issued in OR
Practice address
8172 N 22ND Dr
Phoenix, AZ 85021-7890
Phone
(480) 383-9025
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP2580 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10020464 OR Primary

Addresses

Primary practice location

8172 N 22ND Dr
Phoenix, AZ 85021-7890

Mailing address

8172 N 22ND Dr
Phoenix, AZ 85021-7890
Phone (480) 383-9025

Other practice location 1

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Other identifiers 2

IdentifierTypeStateIssuer
Z146739OtherAZMEDICARE PTAN
187132MedicaidAZ

Other names 1

  • Nancy Weis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070314000016 AZ Practitioner - Nurse Practitioner 3274636147 Reassigns benefits to 1 organization
I20240729002967 OR Practitioner - Nurse Practitioner 3274636147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Emanuel Hospital and Health CenterGroup PAC ID 4587573639, 235 clinicians

Practice addresses (Care Compare)

1225 NE 2ND Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Hospital & facility affiliations

  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince May 7, 2019 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 15, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Honorhealth Ambulatory CurrentSince May 7, 2019 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 15, 2024 Accepting new patients
Lifewell Behavioral Wellness PastSince Jan 2, 2008 Accepting new patients

Locations

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

Organizations & group practices 7

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 4

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1912049271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8172 N 22ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217890",
            "telephone_number": "480-383-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8172 N 22ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217890",
            "telephone_number": "480-383-9025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322003",
            "country_code": "US",
            "telephone_number": "503-944-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYE",
        "first_name": "NANCY",
        "middle_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP2580",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10020464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z146739",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187132",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WEIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.