Individual provider Active NPI

Nicole Myers, FNP

  • Registered Nurse
  • Encinitas, CA
National Provider Identifier
1710361803
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
770324 Issued in CA
Practice address
477 N El Camino Real Ste A100
Encinitas, CA 92024-1329
Phone
(760) 943-9111
NPI assigned
Jul 17, 2015
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 770324 CA Primary

Addresses

Primary practice location

477 N El Camino Real Ste A100
Encinitas, CA 92024-1329

Mailing address

477 N El Camino Real Ste A100
Encinitas, CA 92024-1329

Other identifiers 1

IdentifierTypeStateIssuer
1558742460OtherCANPI TYPE 2

Other names 1

  • Nicole Dinnell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160914002573 CA Practitioner - Nurse Practitioner 8426344607 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Feb 10, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jul 27, 2016 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

310 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 633-7245

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

10010 Campus Point Dr
San Diego, CA 92121
Phone (858) 280-6734

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

4311 3rd Ave
Ste A
San Diego, CA 92103

4311 3rd Ave
Ste C
San Diego, CA 92103
Phone (619) 452-7050

Interoperability endpoints

  • Direct secure messaging: ndinnell12004@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1710361803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE A100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE A100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241329",
            "telephone_number": "760-943-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "770324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1558742460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DINNELL",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.