Carla Dimiris, APRN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AN-0011791 Issued in MD

Practice address

2057 Pulaski Hwy Ste 6
North East, MD 21901-3744

Phone

(443) 267-2969

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Carla Hunt Dimiris Professional name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carla Dimiris Aprn PA

  • Psychiatric/Mental Health Nurse Practitioner
  • North East, MD
  • NPI 1154896926

  Psychiatric/Mental Health

  NPD Authorized official
• Pathways 4 Mental Health Monarch

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North East, MD
  • NPI 1043787021
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1043768906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NATHALIE DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071147",
            "telephone_number": "302-426-2041",
            "fax_number": "443-267-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 PULASKI HWY STE 6",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013744",
            "telephone_number": "443-267-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Nathalie Dr",
            "address_purpose": "LOCATION",
            "city": "Hockessin",
            "state": "DE",
            "postal_code": "197071147",
            "country_code": "US",
            "telephone_number": "302-426-2041",
            "fax_number": "443-267-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMIRIS",
        "first_name": "CARLA",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AN-0011791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "DIMIRIS",
            "middle_name": "HUNT",
            "credential": "APRN PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in North East, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.