Carmen Jagolino Dela Cruz-Placer

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN152159 Issued in GA

Practice address

815 Hickory Ridge Rd SW
Lilburn, GA 30047-3159

Phone

(770) 381-0125

NPI assigned

Jun 30, 2006

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

Other names 1

• Carmen D. Placer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366470924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HICKORY RIDGE RD SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473159",
            "telephone_number": "770-381-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HICKORY RIDGE RD SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473159",
            "telephone_number": "770-381-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ-PLACER",
        "first_name": "CARMEN",
        "middle_name": "JAGOLINO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN152159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "PLACER",
            "middle_name": "D.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Dawn Davis, MD
• Jeffrey William Davis, PTA
• Richard Lee Dawson
• Yolanda DS Dawson
• Emma Deal
• Anabel Delgado-Gaono
• Shayna Dennis
• Laura Dennison, MA, CCC-A
• Dental Professionals of Georgia, P.C.
• Dentistry N Orthodontics Kennesaw Point at Lilburn

• Registered Nurse in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Registered Nurse in Georgia

• 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.