Active NPI
Carlie A Dell, MSN, APNP, FNP-C
- Family Nurse Practitioner
- Marinette, WI
National Provider Identifier
1780291401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704321194
- Practice address
- 2820 Roosevelt Rd
Marinette, WI 54143-3834 - Phone
- (715) 735-5225
- NPI assigned
- Sep 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10531-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 4704321194 | MI | Primary |
Addresses
Primary practice location
2820 Roosevelt Rd
Marinette, WI 54143-3834
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Other practice location 1
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-7864
Other practice location 2
1636 Industrial Pkwy N
Marinette, WI 54143-3703
Phone (920) 445-7373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F09200219 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Other names 1
- Carlie A Harms
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10531-33 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1780291401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 ROOSEVELT RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433834",
"telephone_number": "715-735-5225"
}
],
"practiceLocations": [
{
"address_1": "744 S Webster Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013505",
"country_code": "US",
"telephone_number": "920-433-7864",
"fax_number": "920-433-6090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1636 Industrial Pkwy N",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433703",
"country_code": "US",
"telephone_number": "920-445-7373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELL",
"first_name": "CARLIE",
"middle_name": "A",
"credential": "MSN, APNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-27",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "10531-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704321194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F09200219",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLIE",
"last_name": "HARMS",
"middle_name": "A",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.