Individual provider Active NPI

Carrie Ann Dawes, APN

  • Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1104923523
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LJ0000239 Issued in DE
Practice address
106 Milford St Ste 201
Salisbury, MD 21804-6959
Phone
(410) 543-1616
Fax
(410) 543-8497
NPI assigned
Sep 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LJ0000239 DE Primary
Pediatric Nurse Practitioner 363LP0200X R133498 MD

Addresses

Primary practice location

106 Milford St Ste 201
Salisbury, MD 21804-6959

Mailing address

106 Milford St Ste 201
Salisbury, MD 21804-6959
Phone (410) 543-1616

Other practice location 1

29 Broad St Ste 201
Berlin, MD 21811-1054
Phone (410) 543-1616

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060111000567 MD Practitioner - Nurse Practitioner 2365465796 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LJ0000239DEMDNurse Practitioner
R133498MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corp CurrentSince Mar 8, 2020 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Sep 3, 2024 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 3, 2024 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Mar 8, 2020 Accepting new patients
Atlantic General Hospital Corporation Nurse Practitioner Current Accepting new patients
Yardmore Emergency Physicians LLC Past Accepting new patients

Locations

12308 Ocean Gtwy
Ste 3
Ocean City, MD 21842
Phone (410) 213-0119

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104923523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046959",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046959",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Broad St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111054",
            "country_code": "US",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWES",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LJ0000239",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R133498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.