ELLEN M DYER (NPI# 1114068061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114068061 |
| Entity Type | Individual |
| Full Name | ELLEN M DYER |
| Other Name | ELLEN M GRAYBILL |
| Credential | CRNP |
| Practice Address |
2645 N 3rd St Harrisburg PA 17110-2001 |
| Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7177826800 |
| Practice Fax Number | 7177826801 |
| Mailing Telephone | 7177826800 |
| Mailing Fax Number | 7177826801 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | SP005993D | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP005993D | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102666740 | 05 |
| Street Address |
2645 N 3RD ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429304 | Sarah Widmann Myers | Registered Nurse | 2645 N 3rd St, 1st Fl, Harrisburg, PA 17110-2001 | 2005-07-01 |
| 1447858154 | Ala M Alqaddoumi | Pharmacist | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-10-14 |
| 1063019750 | Amanda Piper | Pharmacist | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-10-06 |
| 1346857596 | Michele Corbin | Pharmacist | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-09-30 |
| 1467071688 | Sarah Hubler | Registered Nurse | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-04-09 |
| 1922627124 | Dena Dunn Lavender | Registered Nurse | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-04-09 |
| 1144849340 | Blandine Wendpouire Sandwidi | Registered Nurse | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-04-09 |
| 1811516909 | Karen Pickarski | Registered Nurse | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-04-09 |
| 1972132363 | Nancy Mccready | Registered Nurse | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-04-07 |
| 1013544824 | Mary Ann Wright | Registered Nurse | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134536899 | Christina Howard | Nurse Practitioner | 2645 N 3rd St Fl 2, Harrisburg, PA 17110-2001 | 2014-07-15 |
| 1538129960 | Carol Backley | Nurse Practitioner | 895 S Arlington Ave, Harrisburg, PA 17109-5004 | 2006-03-28 |
| 1639714066 | Kaitlyn Palkon | Nurse Practitioner | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2019-11-08 |
| 1124596721 | Kayla Lee Beard | Nurse Practitioner | 2645 N 3rd St, Harrisburg, PA 17110-2001 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1013523133 | Hollis Hartman Stewart | Nurse Practitioner | 4 Foxwood Dr, Pittsburgh, PA 15238-2106 | 2020-09-23 |
| 1639784713 | Danzeleen Motil Mascaro | Nurse Practitioner | 503 Natalie Ln, Norristown, PA 19401-3111 | 2020-09-15 |
| 1952913527 | Lindsey Baranik | Nurse Practitioner | 711 Lawn Ave Ste 5, Sellersville, PA 18960-1583 | 2020-08-17 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1871130120 | Alexandria Gustin | Nurse Practitioner | 500 Universisity Drive, Hershey, PA 17033-0858 | 2019-12-05 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1033674247 | Priscilla Korto A Tyler | Nurse Practitioner | 2509 Grove Ln, Trevose, PA 19053-6755 | 2019-02-01 |
| 1386108629 | Alison Leigh Kelley | Nurse Practitioner | 440 E Marshall St Fl 3, West Chester, PA 19380-5414 | 2019-01-30 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
Please comment or provide details below to improve the information on ELLEN M DYER.
| 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.