Rebecca Elizabeth Dydynski, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3007020 Issued in KY

Practice address

60 Mack Walters Rd
Shelbyville, KY 40065-1738

Phone

(502) 633-4622

Fax

(502) 633-6925

NPI assigned

Jul 19, 2011

Last updated

Mar 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1942598370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "SUITE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-633-4622",
            "fax_number": "502-633-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MACK WALTERS RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651738",
            "telephone_number": "502-633-4622",
            "fax_number": "502-633-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYDYNSKI",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007020",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100192450",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Misti Powell Edelen, MED
• Cassandra Ellen Edinger, LPCC

• Nurse Practitioner in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.