Active NPI
Hilary Dwyer, RN
- Registered Nurse
- San Jose, CA
National Provider Identifier
1245471812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 523961
- Practice address
- 871 Enborg CT Unit 100
San Jose, CA 95128-2645 - Phone
- (408) 885-7855
- Fax
- (408) 885-7854
- NPI assigned
- Mar 11, 2009
- Last updated
- Mar 11, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 523961 | CA | Primary |
Addresses
Primary practice location
871 Enborg CT Unit 100
San Jose, CA 95128-2645
Mailing address
871 Enborg CT Unit 100
San Jose, CA 95128-2645
Phone (408) 885-7855
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523961 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Urgent Care | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1245471812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 ENBORG CT UNIT 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282645",
"telephone_number": "408-885-7855",
"fax_number": "408-885-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 ENBORG CT UNIT 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282645",
"telephone_number": "408-885-7855",
"fax_number": "408-885-7854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "HILARY",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "523961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.