Denise Corene Dahl, RN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

530250 Issued in CA

Practice address

200 Mercy Circle
Camp Pendleton, CA 92055

Phone

(442) 242-1866

Fax

(760) 725-1515

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1720742943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 VIA UNIDOS",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283552",
            "telephone_number": "760-685-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "442-242-1866",
            "fax_number": "760-725-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "DENISE",
        "middle_name": "CORENE",
        "credential": "RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "530250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION OF CASE MANAGER CERTIFICATION",
            "identifier": "00109002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF REGISTERED NURSES",
            "identifier": "530250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn K Crowther, CERT. NURSE MIDWIFE
• Luis Robinson Ang Cruz, PHARMD
• Jessica Nicole Cubillos, DO
• Eric Edward Cunha, PH.D.
• Oliver Daahir, SOIDC
• Patrick James Daly Jr., IDC
• Selena Damiano
• Diane Phyllis Mary Daniels, N.P.
• Sophia Ann Daniels, CNM
• Justin Davies, HMC/IDC

• Case Management Registered Nurse in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.