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1578356218 NPI number — KATIE DYER FNP-C

NPI Number: 1578356218
Health Care Provider/Practitioner: KATIE DYER FNP-C

Information about “1578356218” NPI (KATIE DYER FNP-C) exists in 1578356218 in HTML format HTML  |  1578356218 in plain Text format TXT  |  1578356218 in PDF (Portable Document Format) PDF  |  1578356218 in an XML format XML  formats.

NPI Number : 1578356218 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578356218",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DYER",
    "FirstName": "KATIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUFF",
    "OtherFirstName": "KATIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5450 QUARTER HORSE TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORRISTOWN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37813",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-314-7125",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3118 ALCOA HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37920-4791",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-809-0440",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/26/2025",
    "LastUpdateDate": "07/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "38995",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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