Individual provider Active NPI

Elizabeth Grace Dyer, NP

  • Family Nurse Practitioner
  • Coventry, RI
National Provider Identifier
1942282504
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN01326 Issued in RI
Practice address
982 Tiogue Ave
Coventry, RI 02816-6116
Phone
(401) 821-6800
Fax
(401) 821-8513
NPI assigned
Nov 18, 2005
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP37099 RI
Family Nurse Practitioner 363LF0000X APRN01326 RI Primary

Addresses

Primary practice location

982 Tiogue Ave
Coventry, RI 02816-6116

Mailing address

106 Nate Whipple Hwy Ste 101
Cumberland, RI 02864-1403
Phone (401) 739-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040204000503 RI Practitioner - Nurse Practitioner 3173416195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers of Rhode Island PCGroup PAC ID 3072913714, 51 clinicians

Practice addresses (Care Compare)

106 Nate Whipple Hwy
Suite 101
Cumberland, RI 02864-1403
Phone (401) 658-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP37099RIMDNurse Practitioner
APRN01326RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers of Rhode Island PC Nurse Practitioner CurrentSince Jul 22, 2024 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner Past Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Nurse Practitioner Past Accepting new patients

Locations

982 Tiogue Ave
Coventry, RI 02816
Phone (401) 615-3140

106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197

2140 Mendon Rd
Cumberland, RI 02864
Phone (401) 334-9630

174 Armistice Blvd
Ste A
Pawtucket, RI 02860
Phone (401) 753-0500

400 Putnam Pike
Smithfield, RI 02917
Phone (401) 232-7001

Interoperability endpoints

  • Direct secure messaging: elizabeth.dyer.1@31278.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1942282504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NATE WHIPPLE HWY STE 101",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641403",
            "telephone_number": "401-739-7380",
            "fax_number": "401-658-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166116",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NP37099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

Verify at the official NPI Registry.