Healthcare Provider Details

I. General information

NPI: 1659223360
Provider Name (Legal Business Name): CAITLIN JO DYAR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 BEL AIRE DR
MARIETTA OH
45750-9481
US

IV. Provider business mailing address

113 BEL AIRE DR
MARIETTA OH
45750-9481
US

V. Phone/Fax

Practice location:
  • Phone: 740-236-8464
  • Fax:
Mailing address:
  • Phone: 740-236-8464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.465071
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: