James Wilson Damiani, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN2040952 Issued in FL

Practice address

165 Southpark Blvd
Suite D
St Augustine, FL 32086-4101

Phone

(904) 824-7597

Fax

(904) 824-7598

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306856232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BONITA RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865706",
            "telephone_number": "904-794-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SOUTHPARK BLVD",
            "address_2": "SUITE D",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864101",
            "telephone_number": "904-824-7597",
            "fax_number": "904-824-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANI",
        "first_name": "JAMES",
        "middle_name": "WILSON",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN2040952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN2040952",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Dale, LMT
• Lidia S Dalessandro, APRN
• Jessica Dallas, LMT
• Kristen Daly, PHARMD
• Connika Dames
• Irina Ioana Damjanovic, DPT
• Dominique Dampier
• Stacy Ann Danforth
• Alexxis Daniel
• Varduhi Danielyan

• Psychiatric/Mental Health Registered Nurse in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.