NPI 1861897647 · live from the CMS NPI Registry
Karen Marie Dyer, RN,CCM
Registered Nurse in Lawrenceville, GA. National Provider Identifier 1861897647, active.
NPI record
| NPI | 1861897647 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 1219 Pughes Creek Way, Lawrenceville, GA 30045 |
| Practice phone | 678-491-1085 |
| Enumerated | October 23, 2014 |
| Last updated | October 23, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse primary | 163W00000X | RN215362 (GA) |
| Registered Nurse | 163W00000X | 061092 (MO) |
| Registered Nurse, Case Management | 163WC0400X | RN215362 (GA) |
| Registered Nurse, Home Health | 163WH0200X | RN215362 (GA) |
| Registered Nurse, Nutrition Support | 163WN1003X | RN215362 (GA) |
| Registered Nurse, Psych/Mental Health, Child & Adolescent | 163WP0807X | RN215362 (GA) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | RN215362 (GA) |
| Registered Nurse, Rehabilitation | 163WR0400X | RN215362 (GA) |
| Registered Nurse, Occupational Health | 163WX0106X | RN215362 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.