KATELYN ELAINE DYE (NPI# 1023658408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023658408 |
| Entity Type | Individual |
| Full Name | KATELYN ELAINE DYE |
| Credential | APRN |
| Practice Address |
1005 Mar Walt Dr Fort Walton Beach FL 32547-6707 |
| Mailing Address |
2802 Ultra Ln Crestview FL 32539-8370 |
| Practice Telephone | 8437090739 |
| Mailing Telephone | 8437090739 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11005716 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1005 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517627 | Michael Andrew Johnson | Physician Assistant | 1005 Mar Walt Dr, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | 2005-09-09 |
| 1467988220 | Katrina Pendleton Borner | Nurse Practitioner | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 | 2017-05-11 |
| 1992067383 | Irina Viktorovna Smith | Pediatrics | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 | 2012-06-12 |
| 1114242781 | Leslie Marie Anderson | Dietitian, Registered | 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 | 2010-04-07 |
| 1134267537 | White-wilson Medical Center, P.a. | Family Medicine | 1005 Mar Walt Dr, Fp Department, Fort Walton Beach, FL 32547-6707 | 2007-02-01 |
| 1518005917 | White-wilson Medical Center, P.a. | Pediatrics | 1005 Mar Walt Dr, Pediatric Department, Fort Walton Beach, FL 32547-6707 | 2007-02-01 |
| 1669410924 | Charles Joseph Clancy | Emergency Medicine | 1005 Mar Walt Dr, Immediate Care Department, Fort Walton Beach, FL 32547-6707 | 2006-06-02 |
| 1275519886 | Lawrence P King | Pediatrics | 1005 Mar Walt Dr, Pediatric Department, Fort Walton Beach, FL 32547-6707 | 2005-12-16 |
| 1336124098 | Harold Timothy Johnson | Physician Assistant | 1005 Mar Walt Dr, Family Medicine Department, Fort Walton Beach, FL 32547-6707 | 2005-12-14 |
| 1790760502 | Gilberto Luis Vigo | Internal Medicine | 1005 Mar Walt Dr, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | 2005-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
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| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.