Individual provider Active NPI

Carlita Dobbie, NP

  • Nurse Practitioner
  • Dover, NH
National Provider Identifier
1538744362
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112310-23 Issued in NH
Practice address
784 Central Ave
Dover, NH 03820-2549
Phone
(603) 742-5556
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11019350 FL
Nurse Practitioner 363L00000X RN2309117 MA
Nurse Practitioner 363L00000X 112310-23 NH Primary

Addresses

Primary practice location

784 Central Ave
Dover, NH 03820-2549

Mailing address

1 French Rd
Epping, NH 03042-1800
Phone (207) 337-8786

Other names 1

  • Carlita Leigh Dominguez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210603001399 MA Practitioner - Nurse Practitioner 6305245879 Reassigns benefits to 2 organizations
I20241007000731 NH Practitioner - Nurse Practitioner 6305245879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Dermatology PAGroup PAC ID 9537154059, 19 clinicians

Practice addresses (Care Compare)

2299 Woodbury Ave
Suite 3
Newington, NH 03801-7854
Phone 603742555631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2309117MAMDNurse Practitioner
112310-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince May 13, 2021 Accepting new patients
Campbell Dermatology PA CurrentSince Nov 15, 2024 Accepting new patients
The General Hospital Corporation CurrentSince May 13, 2021 Accepting new patients
Dermatology and Skin Health LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

160 S River Rd
Ste 2400
Bedford, NH 03110

784 Central Ave
Dover, NH 03820
Phone (603) 742-5556

15 Durham Rd
Ste 204
Dover, NH 03820

6 Tsienneto Rd
Ste 204
Londonderry, NH 03038
Phone (603) 421-2156

50 Michels Way
Unit 202
Londonderry, NH 03053
Phone (603) 742-5556

2299 Woodbury Ave
Ste 3
Newington, NH 03801
Phone (603) 742-5556

Interoperability endpoints

  • Direct secure messaging: carlydobbie@dermorlando.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1538744362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRENCH RD",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030421800",
            "telephone_number": "207-337-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202549",
            "telephone_number": "603-742-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBIE",
        "first_name": "CARLITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11019350",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2309117",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "112310-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLITA",
            "last_name": "DOMINGUEZ",
            "middle_name": "LEIGH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.