Active NPI
Kim A Dyson, CNM
- Advanced Practice Midwife
- Vero Beach, FL
National Provider Identifier
1912967159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP 1498862
- Practice address
- 787 37TH St
Suite E-170
Vero Beach, FL 32960-7305 - Phone
- (772) 770-6116
- Fax
- (772) 564-6120
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | ARNP 1498862 | FL | Primary |
Addresses
Primary practice location
787 37TH St
Suite E-170
Vero Beach, FL 32960-7305
Mailing address
1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0380 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1498862 | FL | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1912967159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 37TH ST",
"address_2": "SUITE E-170",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607305",
"telephone_number": "772-770-6116",
"fax_number": "772-564-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYSON",
"first_name": "KIM",
"middle_name": "A",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP 1498862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y0380",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.