Active NPI
Carrie Denise Dial, NP
- Family Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1487198602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP 95005282
- Practice address
- 374 Carroll Park E
Apt 8
Long Beach, CA 90814-2275 - Phone
- (562) 715-9419
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | NP 95005282 | CA | Primary |
Addresses
Primary practice location
374 Carroll Park E
Apt 8
Long Beach, CA 90814-2275
Mailing address
374 Carroll Park E
Apt 8
Long Beach, CA 90814-2275
Phone (562) 715-9419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 95005282 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1487198602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 CARROLL PARK E",
"address_2": "APT 8",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908142275",
"telephone_number": "562-715-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 CARROLL PARK E",
"address_2": "APT 8",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908142275",
"telephone_number": "562-715-9419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAL",
"first_name": "CARRIE",
"middle_name": "DENISE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP 95005282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.