Darcey A Dwelly, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10-297745 Issued in NY

Practice address

8865 Number 5 Rd E
Manlius, NY 13104-8507

Phone

(315) 663-6776

NPI assigned

Aug 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1528299864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 NUMBER 5 RD E",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048507",
            "telephone_number": "315-663-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 NUMBER 5 RD E",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048507",
            "telephone_number": "315-663-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWELLY",
        "first_name": "DARCEY",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10-297745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neiha Dhar, MS, LMFT
• Charles Dicosimo III, DMD, MSD
• Geraldine Mary Dicosimo, M.S., R.N., C.S.
• Donald M. Dixon
• Carolyn Bradford Dragon, DMD, MSD
• Henry M. Eisenberg, M.D.
• Khadija Elharti
• Edious K. Elliot, DMD
• Stacey Patricia Elliott, D.O.
• Andrea P Ellis, RN

• All providers in Manlius, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.