Individual provider Active NPI

Kayla Dyer, CRNP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1992257323
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-134026 Issued in AL
Practice address
420 Lowell Dr SE Ste 204
Huntsville, AL 35801-3763
Phone
(256) 536-9031
Fax
(565) 394-2402
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-134026 AL Primary

Addresses

Primary practice location

420 Lowell Dr SE Ste 204
Huntsville, AL 35801-3763

Mailing address

420 Lowell Dr SE Ste 204
Huntsville, AL 35801-3763
Phone (256) 536-9031

Other names 1

  • Kayla Oliver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20161130002176 AL Practitioner - Nurse Practitioner 7719267129 Reassigns benefits to 1 organization
Practice locations: Huntsville, AL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Digestive Disease CenterGroup PAC ID 8527381524, 20 clinicians

Practice addresses (Care Compare)

420 Lowell Dr SE
Suite 204
Huntsville, AL 35801-3763
Phone (256) 536-9031

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-134026ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Digestive Disease Center CurrentSince Nov 18, 2021 Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

420 Lowell Dr SE
Ste 204
Huntsville, AL 35801
Phone (256) 536-9031

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

8371 Highway 72 W
Ste 101
Madison, AL 35758
Phone (256) 536-9031

Organizations & group practices 1

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 1

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": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1992257323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013763",
            "telephone_number": "256-536-9031",
            "fax_number": "256-536-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE STE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013763",
            "telephone_number": "256-536-9031",
            "fax_number": "565-394-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "KAYLA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-134026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "OLIVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.