Active NPI
Dialis Eneida Camacho, LM, CPM
- Midwife
- Gainesville, FL
National Provider Identifier
1154879278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 338
- Practice address
- 8203 NW 31St Ave
Apt. G41
Gainesville, FL 32606-6289 - Phone
- (787) 228-3444
- NPI assigned
- Sep 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 338 | FL | Primary |
Addresses
Primary practice location
8203 NW 31St Ave
Apt. G41
Gainesville, FL 32606-6289
Mailing address
8203 NW 31St Ave
Apt. G41
Gainesville, FL 32606-6289
Phone (787) 228-3444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 338 | FL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474156800000",
"number": "1154879278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 NW 31ST AVE",
"address_2": "APT. G41",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066289",
"telephone_number": "787-228-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8203 NW 31ST AVE",
"address_2": "APT. G41",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066289",
"telephone_number": "787-228-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "DIALIS",
"middle_name": "ENEIDA",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-18",
"last_updated": "2016-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.