Individual provider Active NPI

Isabel Charlotte Diamond Allen, DNP, FNP, RN

  • Family Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1164190823
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029019 Issued in CA
Practice address
6520 Ambrosia LN Apt 1218
Carlsbad, CA 92011-2616
Phone
(520) 904-5414
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95167811 CA
Family Nurse Practitioner 363LF0000X 95029019 CA Primary

Addresses

Primary practice location

6520 Ambrosia LN Apt 1218
Carlsbad, CA 92011-2616

Mailing address

6520 Ambrosia LN Apt 1218
Carlsbad, CA 92011-2616
Phone (520) 904-5414

Other names 1

  • Isabel Charlotte Diamond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240917004283 CA Practitioner - Nurse Practitioner 7416498480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hardison Medical CorporationGroup PAC ID 1456604339, 13 clinicians

Practice addresses (Care Compare)

142 Encinitas Blvd
Encinitas, CA 92024-3657
Phone (760) 230-1888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95167811CAMDRegistered Nurse
95029019CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardison Medical Corporation CurrentSince Jun 21, 2024 Accepting new patients

Locations

142 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 230-1888

4110 Sorrento Valley Blvd
San Diego, CA 92121
Phone (858) 246-9698

3940 4th Ave
Ste 130140
San Diego, CA 92103
Phone (760) 230-1888

Interoperability endpoints

  • Direct secure messaging: isabel.diamond.allen.1@20083.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1164190823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 AMBROSIA LN APT 1218",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920112616",
            "telephone_number": "520-904-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 AMBROSIA LN APT 1218",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920112616",
            "telephone_number": "520-904-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND ALLEN",
        "first_name": "ISABEL",
        "middle_name": "CHARLOTTE",
        "credential": "DNP, FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95167811",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "DIAMOND",
            "middle_name": "CHARLOTTE",
            "credential": "DNP, FNP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.