Daphne Mae Carrigan, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

150838 Issued in CA

Practice address

11614 Anderson St
Loma Linda, CA 92354-3457

Phone

(909) 754-1128

Fax

(909) 894-4700

NPI assigned

Jul 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1770100950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543457",
            "telephone_number": "909-754-1128",
            "fax_number": "909-894-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543457",
            "telephone_number": "909-754-1128",
            "fax_number": "909-894-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIGAN",
        "first_name": "DAPHNE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "150838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150838",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Fay Carlson
• Taylor Marie Carlson
• Hannah Caron
• Kristin Anne Carr, MD
• Edmundo Carreon-Salazar, M.D.
• Deborah Michelle Chung Carritte, M.D.
• Madeline Carritte
• Melissa Cartagena, PHARMD
• Cheryl Y. Carter, MSW, MS
• Cody Sheridan Carter, MD

• Licensed Vocational Nurse in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.