Camille B Diclerico, MSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

174661 Issued in NY

Practice address

401 Carpenter Rd
Rader Army Clinic
Fort Myer, VA 22211

Phone

(703) 696-3662

NPI assigned

Dec 29, 2005

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

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891772976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD",
            "address_2": "RADER ARMY CLINIC",
            "city": "FORT MYER",
            "state": "VA",
            "postal_code": "22211",
            "telephone_number": "703-696-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD",
            "address_2": "RADER ARMY CLINIC",
            "city": "FORT MYER",
            "state": "VA",
            "postal_code": "22211",
            "telephone_number": "703-696-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICLERICO",
        "first_name": "CAMILLE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "174661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ann CVRK, RN
• Tatyana Dankulich-Huryn, DMD
• Anne De Lanoy, M.D.
• Defense Health Agency
• Nicole Marie Deyampert, MD
• Lucy Duckworth
• Evonne T Fei, PSY.D.
• Ft Meade Meddac
• Saira Elisabeth Gardner
• David Bruce Gorski, O.D.

• Community Health Registered Nurse in Fort Myer, VA
• Providers in Fort Myer, VA by specialty
• Community Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.