Active NPI
Carol Lynn Delville, PHD, APRN, ACNS-BC
- Adult Health Clinical Nurse Specialist
- Austin, TX
National Provider Identifier
1962838284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 661885
- Practice address
- 4107 Medical Pkwy 210
Austin, TX 78756-3738 - Phone
- (512) 451-4488
- Fax
- (512) 453-2707
- NPI assigned
- Sep 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 661885 | TX | Primary |
Addresses
Primary practice location
4107 Medical Pkwy 210
Austin, TX 78756-3738
Mailing address
4107 Medical Pkwy 210
Austin, TX 78756-3738
Phone (512) 451-4488
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
- Certified Nurse Specialist, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1962838284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 MEDICAL PKWY 210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563738",
"telephone_number": "512-451-4488",
"fax_number": "512-453-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 MEDICAL PKWY 210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563738",
"telephone_number": "512-451-4488",
"fax_number": "512-453-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELVILLE",
"first_name": "CAROL",
"middle_name": "LYNN",
"credential": "PHD, APRN, ACNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "661885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.