Individual provider Active NPI

Karel Dunning-Mirabal, LISW

  • Social Worker
  • Taos, NM
National Provider Identifier
1104222892
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I-08736 Issued in NM
Practice address
111 Paseo del Canon W
Taos, NM 87571-8218
Phone
(575) 758-5857
Fax
(575) 758-5860
NPI assigned
Nov 7, 2014
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I-08736 NM Primary

Addresses

Primary practice location

111 Paseo del Canon W
Taos, NM 87571-8218

Mailing address

105 Paseo del Canon W
Ste a
Taos, NM 87571-6943
Phone (575) 758-5857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1104222892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PASEO DEL CANON W",
            "address_2": "STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716943",
            "telephone_number": "575-758-5857",
            "fax_number": "575-758-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PASEO DEL CANON W",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875718218",
            "telephone_number": "575-758-5857",
            "fax_number": "575-758-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNING-MIRABAL",
        "first_name": "KAREL",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-08736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.