Individual provider Active NPI

Erin Caudle Dills, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1437343357
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
363LF0000X Issued in NC
Practice address
2580 Pickard Rd
Wilmington, NC 28403-4461
Phone
(910) 332-0701
Fax
(910) 332-0710
NPI assigned
Sep 4, 2007
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 363LF0000X NC Primary

Addresses

Primary practice location

2580 Pickard Rd
Wilmington, NC 28403-4461

Mailing address

2580 Pickard Rd
Wilmington, NC 28403-4461
Phone (910) 332-0701

Other identifiers 1

IdentifierTypeStateIssuer
7005481MedicaidNC

Other names 1

  • Miss Erin Marie Caudle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728001263 NC Practitioner - Nurse Practitioner 6608909593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intracoastal Internal MedicineGroup PAC ID 2668477878, 7 clinicians

Practice addresses (Care Compare)

2580 Pickard Rd
Wilmington, NC 28403-4461
Phone (910) 332-0701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
363LF0000XNCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intracoastal Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients

Locations

2580 Pickard Rd
Wilmington, NC 28403
Phone (910) 332-0701

Interoperability endpoints

  • Direct secure messaging: erin.dills@iim1.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJBAA

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1437343357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 PICKARD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034461",
            "telephone_number": "910-332-0701",
            "fax_number": "910-332-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 PICKARD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034461",
            "telephone_number": "910-332-0701",
            "fax_number": "910-332-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLS",
        "first_name": "ERIN",
        "middle_name": "CAUDLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "363LF0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005481",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CAUDLE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.