Individual provider Active NPI

Carolyne Kavugwi Amiani

  • Registered Nurse
  • Newport Beach, CA
National Provider Identifier
1124693304
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
851940 Issued in CA
Practice address
1124 Corella
Newport Beach, CA 92660-3288
Phone
(517) 303-0207
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 851940 CA Primary

Addresses

Primary practice location

1124 Corella
Newport Beach, CA 92660-3288

Mailing address

1124 Corella
Newport Beach, CA 92660-3288
Phone (517) 303-0207

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
851940CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1124693304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 CORELLA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603288",
            "telephone_number": "517-303-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 CORELLA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603288",
            "telephone_number": "517-303-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIANI",
        "first_name": "CAROLYNE",
        "middle_name": "KAVUGWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "851940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.