Tabitha Carnevale, RN, BSN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

470589 Issued in CA

Practice address

77 Rolling Oaks Dr Ste 106
Thousand Oaks, CA 91361-1012

Phone

(805) 494-4600

Fax

(805) 222-1887

NPI assigned

Mar 28, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1063701225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18031 MAYERLING ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 106",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611012",
            "telephone_number": "805-494-4600",
            "fax_number": "805-222-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "TABITHA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "470589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carelink Hospice Inc
• Glennon T Carevic
• Vanessa Carias
• Christy Carlson
• Channah Carmi, PA-C
• Carney Chan MD PC
• Cheryl Jean Carnine, LMFT
• Savita Veronica Carothers, LMFT
• Denise Carranza
• Ericka Carrick, LMFT

• Nurse Practitioner in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.