Darci Marie Dimitris, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21827 Issued in SC

Practice address

187 W Broad St
Spartanburg, SC 29306-3234

Phone

(864) 707-2844

Fax

(864) 707-2892

NPI assigned

Aug 1, 2018

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Providence House Calls LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rock Hill, SC
  • NPI 1689912495
  Medicare reassignment NPD
• The Forrester Center for Behavioral Health, Inc.

  dba The Forrester Center for Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spartanburg, SC
  • NPI 1457354839
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1164900106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W BROAD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063234",
            "telephone_number": "864-707-2857",
            "fax_number": "864-707-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W BROAD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063234",
            "telephone_number": "864-707-2844",
            "fax_number": "864-707-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRIS",
        "first_name": "DARCI",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luther A Diehl, PH.D.
• Shiloh Junelle Dillard, LMSW
• James Matthew Dilleshaw, FNP
• Daryl Brian Dillman, MD
• Lindsey Marie Dillon, M.S.
• Anna Grace Patterson Dimling, PA
• Julisu Dimucci-Ward, PHD, RD,CDE,LD
• Chad M Dingman, LISW-CP
• Roxanne M Dingman, ATC, OPA-C, SA-C
• Margie Yu Discaya, NP

• Family Nurse Practitioner in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.