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SUSAN R DYLE PA
NPI 1417977505
Physician Assistant - Medical in Provo, UT

Active since July 20, 2006
619 N 500 W, PROVO, UT 84601(801) 852-9440(801) 852-9449 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Susan R Dyle Pa NPPES

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

SUSAN R DYLE PA (NPI 1417977505) is an individual medical provider in Provo, Utah, licensed in Utah (1754051206) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417977505
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN R DYLECredential: PA
Location Address619 N 500 WProvo, UT 84601-1547
Mailing Address619 N 500 WProvo, UT 84601-1547 · (801) 852-9440 · Fax (801) 852-9449
Phone(801) 852-9440
Fax(801) 852-9449
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateNovember 16, 2016
✔ NPI 1417977505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · 1754051206
619 N 500 W, Provo, UT 84601
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN005556732UT
Medicare PIN006900410UT

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.

DANIEL HOWELL
Counselor
619 N 500 W
PROVO, UT 84601
Utah County (801) 375-4240
VICKI GOODMAN
Counselor
619 N 500 W
PROVO, UT 84601
Utah County (801) 420-0465
HALEY ALLMENDINGER
Community Health Worker
619 N 500 W
PROVO, UT 84601
Utah County (801) 375-4240
MARY HARRISON AHLANDER
Counselor
619 N 500 W
PROVO, UT 84601
Utah County (801) 375-4240
KENNY NESS
Counselor
619 N 500 W
PROVO, UT 84601
Utah County (801) 420-0465
JULIE DUNN
Counselor
619 N 500 W
PROVO, UT 84601
Utah County (801) 370-4240
BARLOW BIRD
Counselor
619 N 500 W
PROVO, UT 84601
Utah County (801) 375-4240
EMILY RUSSON
Counselor
619 N 500 W
PROVO, UT 84601
Utah County (801) 375-4240

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 Susan Dyle's NPI number?

The NPI number for Susan Dyle is 1417977505. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Susan Dyle located?

Susan Dyle practices at 619 N 500 W, Provo, UT 84601. The listed phone number is (801) 852-9440.

What is Susan Dyle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Susan Dyle was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.