Carolyn Dimiceli

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

259820 Issued in AZ

Practice address

4434 N 12TH St
Phoenix, AZ 85014-4507

Phone

(602) 242-5121

Fax

(602) 242-6945

NPI assigned

Jun 27, 2021

Last updated

Jun 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Phoenix Pediatrics LTD

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1871788513
  NPD
• Cactus Childrens Clinic PC

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1891850145
  NPD (past)
• North Scottsdale Pediatric Associates

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1275797235
  NPD (past)

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1356911994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144507",
            "telephone_number": "602-242-5121",
            "fax_number": "602-242-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144507",
            "telephone_number": "602-242-5121",
            "fax_number": "602-242-6945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5940 W Union Hills Dr Ste D100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081361",
            "country_code": "US",
            "telephone_number": "602-678-2500",
            "fax_number": "602-938-2198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4735 E Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850503362",
            "country_code": "US",
            "telephone_number": "602-971-5121",
            "fax_number": "602-971-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMICELI",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "259820",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "259820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104847",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren E Dimaano, RN
• Cristina Dimarco, OD
• Denise Pauline Dimas, LPN
• Renee Dimas
• Prema Helen Dimauro, PTA
• Michael Dimler, MD
• Michael Dimoff, RN
• Jay K Din, DDS
• Steven Franklin Dingle, MD
• Madelyne Mae Dingus, SLPA

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.