DR. KATHERINE LIBERTY DYER MD
NPI 1255016663
Student in an Organized Health Care Education/Training Program in Martinez, CA

Active since June 21, 2023PECOS Enrolled
2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 370-5117 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Liberty Dyer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHERINE LIBERTY DYER MD (NPI 1255016663) is an individual student in an organized health care education/training program in Martinez, California and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2023).

NPPES Registry Identity

NPI1255016663
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KATHERINE LIBERTY DYERCredential: MD
Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156
Mailing Address2500 Alhambra AveMartinez, CA 94553-3156 · (925) 370-5117
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2023
Enumeration DateJune 21, 2023
NPPES CertifiedJune 21, 2023
NPI 1255016663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 ALHAMBRA AVE, Martinez, CA 94553

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Katherine Liberty Dyer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870948524
PECOS Enrollment IDI20260611004258
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Student in an Organized Health Care Education/Training Program
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Dentist
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
General Practice
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Family Medicine
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Surgery
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Otolaryngology
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Psychiatry & Neurology (Psychiatry)
2500 ALHAMBRA AVE, PES
MARTINEZ, CA 94553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Dyer's NPI number?

The NPI number for Katherine Dyer is 1255016663. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Katherine Dyer located?

Katherine Dyer practices at 2500 Alhambra Ave, Martinez, CA 94553. The listed phone number is (925) 370-5117.

What is Katherine Dyer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katherine Dyer enrolled in Medicare?

Yes. Katherine Dyer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Dyer was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.