Sandra Lynn Dimario, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

R43581 Issued in CT

Practice address

151 Hartford Rd
Manchester, CT 06040-5972

Phone

(860) 643-1076

Fax

(860) 647-1101

NPI assigned

May 15, 2016

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

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": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1730536293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405972",
            "telephone_number": "860-643-1076",
            "fax_number": "860-647-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405972",
            "telephone_number": "860-643-1076",
            "fax_number": "860-647-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARIO",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CT",
            "license": "R43581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digestive Health Specialists of Eastern Connecticut LLC
• Jacob M Diiorio
• Scott Maurice Dillard, D.D.S.
• Sydney J Dillon
• Jeannie Dilworth, APRN
• Joseph Lawrence Dinardo, DMD
• Samantha M Dinoto
• Caitlyn Dion
• Sarah A Diramio, APRN
• Raisa Dirienzo

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Manchester, CT
• Providers in Manchester, CT by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; 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.