Alesia Jean Grice-Dyer, PSYD, LPC, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.297967 Issued in IL

Practice address

2509 Morton Dr
East Moline, IL 61244-1816

Phone

(309) 278-7065

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Dyer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1982055604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 MORTON DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612441816",
            "telephone_number": "309-278-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 MORTON DR",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612441816",
            "telephone_number": "309-278-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRICE-DYER",
        "first_name": "ALESIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LPC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.297967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DYER",
            "credential": "PSYD., LPC, RN,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Genesis Health System
• Gorantla Govindaiah, M.D., S.C.
• Camryn Gosch
• Kara Gossen, PHARMD
• Sujatha Govindaiah, MD
• Amy Guerrero-Hattem
• Brooke E Guldin, MS, CF-SLP
• Athena Barcelona Guzman, M.D
• Michael B Haidsiak, PT
• Summer Hall

• Registered Nurse in East Moline, IL
• Providers in East Moline, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.