Individual provider Active NPI

Carolyn Dickerson Ramirez, R.N.P

  • Adult Psychiatric/Mental Health Registered Nurse
  • Hampton, VA
National Provider Identifier
1720174451
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
0001118207 Issued in VA
Practice address
100 Emancipation Drive
Hampton, VA 23667
Phone
(757) 722-9961
Fax
(757) 728-3460
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 0001118207 VA Primary

Addresses

Primary practice location

100 Emancipation Drive
Hampton, VA 23667

Mailing address

5385 Bellefield Road
Norfolk, VA 23502
Phone (757) 455-8188

Other names 1

  • Mrs. Carolyn Dickerson Ramirez Professional name

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

State licenses

LicenseStateTypeSpecialty
0001118207VAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720174451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 BELLEFIELD ROAD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-455-8188",
            "fax_number": "757-728-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DRIVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23667",
            "telephone_number": "757-722-9961",
            "fax_number": "757-728-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "CAROLYN",
        "middle_name": "DICKERSON",
        "name_prefix": "Mrs.",
        "credential": "R.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0001118207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "RAMIREZ",
            "middle_name": "DICKERSON",
            "prefix": "MRS.",
            "credential": "R.N.P",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.