Active NPI
Damaris Caraballo, FNP-C
- Family Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00841100
- Practice address
- 926 Main St
Nashville, TN 37206-3614 - Phone
- (615) 436-9060
- Fax
- (615) 235-9725
- NPI assigned
- Nov 12, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00841100 | NJ | Primary |
Addresses
Primary practice location
926 Main St
Nashville, TN 37206-3614
Mailing address
149 W 1St St
Bayonne, NJ 07002-5214
Phone (201) 660-3238
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | damaris.caraballo@237407481626628.direct.elationemr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190128000207 | NJ | Practitioner - Nurse Practitioner | 2860739000 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Primary Care Services | Current | Accepting new patients |
Locations
519 Broadway
Ste 3100
Bayonne, NJ 07002
Phone (551) 214-3500
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
206 Bergen Ave
Ste 208
Kearny, NJ 07032
Phone (201) 948-5879
206 Bergen Ave
Ste 201
Kearny, NJ 07032
Phone (201) 948-5879
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262
3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949
3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
Interoperability endpoints
- damaris.caraballo@237407481626628.direct.elationemr.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": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1245708809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 W 1ST ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070025214",
"telephone_number": "201-660-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 MAIN ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372063614",
"telephone_number": "615-436-9060",
"fax_number": "615-235-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABALLO",
"first_name": "DAMARIS",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00841100",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "damaris.caraballo@237407481626628.direct.elationemr.com",
"affiliation": "N",
"endpointDescription": "CareBridge Medical Group-Telehealth",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "926 Main St",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372063614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.