Individual provider Active NPI

Doris Carryl

  • Community Health Worker
  • Washington, DC
National Provider Identifier
1922455823
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
HHA11944 Issued in DC
Practice address
1312 Clifton St NW Apt 415S
Washington, DC 20009-7044
Phone
(202) 390-6140
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X HHA11944 DC
Community Health Worker 172V00000X HHA11944 DC Primary

Addresses

Primary practice location

1312 Clifton St NW Apt 415S
Washington, DC 20009-7044

Mailing address

1312 Clifton St NW Apt 415S
Washington, DC 20009
UM
Phone (202) 390-6140

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA11944DCMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1922455823",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1312 CLIFTON ST NW APT 415S",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20009",
            "telephone_number": "202-390-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 CLIFTON ST NW APT 415S",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200097044",
            "telephone_number": "202-390-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRYL",
        "first_name": "DORIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "DC",
            "license": "HHA11944",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "DC",
            "license": "HHA11944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.