Organization Active NPI

Carla Dimiris Aprn PA

  • Psychiatric/Mental Health Nurse Practitioner
  • North East, MD
National Provider Identifier
1154896926
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CARLA DIMIRIS APRN PA
Practice address
2057 Pulaski Hwy Ste 6
North East, MD 21901-3744
Phone
(443) 267-2969
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Authorized official

Name
Carla Dimiris, PMHNP-BCNPI 1043768906
Title
President
Phone
(302) 426-2041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2057 Pulaski Hwy Ste 6
North East, MD 21901-3744

Mailing address

9 Nathalie Dr
Hockessin, DE 19707-1147
Phone (302) 302-2726

Other practice location 1

9 Nathalie Dr
Hockessin, DE 19707-1147
Phone (302) 302-2726

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1154896926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NATHALIE DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071147",
            "telephone_number": "302-302-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 PULASKI HWY STE 6",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013744",
            "telephone_number": "443-267-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Nathalie Dr",
            "address_purpose": "LOCATION",
            "city": "Hockessin",
            "state": "DE",
            "postal_code": "197071147",
            "country_code": "US",
            "telephone_number": "302-302-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLA DIMIRIS APRN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "DIMIRIS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-426-2041",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.