IndividualActive
Kevin Dykstra
NPI 1114269867 · Registered Nurse · Gallup, NM
Kevin Dykstra is a Registered Nurse provider in Gallup, NM (NPI 1114269867).
Provider details
- NPI number
- 1114269867
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R 0085304 (OK)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Street-level locationGet directions
Mailing address
516 E. Nizhoni Blvd.
Gallup, NM 87301-1337
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-03-20
Frequently asked questions
- What is Kevin Dykstra's NPI number?
- Kevin Dykstra's National Provider Identifier (NPI) is 1114269867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Dykstra's specialty?
- Kevin Dykstra is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Kevin Dykstra located?
- Kevin Dykstra's practice location on file with NPPES is 516 E Nizhoni Blvd, Gallup, NM 87301-5748.
- What is Kevin Dykstra's phone number?
- The practice phone number listed in the NPPES registry for Kevin Dykstra is (505) 722-1000.
- Is Kevin Dykstra's NPI active?
- Yes — Kevin Dykstra's NPI (1114269867) is active in the NPPES registry as of the last update on 2013-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.