DENISE D CARCAMO (NPI# 1588993315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588993315 |
| Entity Type | Individual |
| Full Name | DENISE D CARCAMO |
| Credential | WHNP-C |
| Practice Address |
2900 Doolittle Dr Ellsworth Afb SD 57706 |
| Mailing Address |
2900 Doolittle Dr Ellsworth Afb SD 57706-4821 |
| Practice Telephone | 6053853494 |
| Mailing Telephone | 9374705064 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704213714 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 4704213714 | 01 |
| Street Address |
2900 DOOLITTLE DR |
| City | ELLSWORTH AFB |
| State | SD |
| Zip Code | 57706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607535 | Michael Scott Bogaard | Optometrist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2005-08-30 |
| 1023648128 | Sereirath Som Hart | Social Worker | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2020-01-17 |
| 1811459662 | Anthony David Delcorral | Dentist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2019-04-02 |
| 1942766746 | Joseph Minette Stanfill | Social Worker | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2019-02-16 |
| 1275016214 | Elizabeth Gunnell | Counselor | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-09-14 |
| 1760989933 | Jeffrey Moran | Pharmacist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-04-12 |
| 1851898191 | Stephen Beals | Pharmacist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-04-12 |
| 1205330651 | Ariel Hough | Dentist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-03-21 |
| 1629576491 | Mario Luis Recupido IIi | Military Health Care Provider | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2018-01-26 |
| 1205342664 | Sheila Renee Johnson | Social Worker | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2017-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307202 | Patrick David Jones | Physician Assistant | 28th Mdg/sggp, 2900 Doolittle Dr., Ellsworth Afb, SD 57706 | 2017-10-12 |
| 1770736522 | Amy Marie Kubal | Dietitian, Registered | 2450 Risner Drive, Ellsworth Air Force Base Health and Wellness Center, Ellsworth Afb, SD 57706 | 2008-10-24 |
| 1275057754 | Adrianne Rae Littles | Military Health Care Provider | 2900 Doolittle Drive, Ellsworth Afb, SD 57706 | 2017-07-27 |
| 1467501874 | Tasha Dee Standing Soldier | Pharmacist | 2900 Doolittle Drive, 28th Medical Group, Ellsworth Afb, SD 57706 | 2007-01-09 |
| 1326286899 | Michelle Andaya Ziegler | Physical Therapist | 532 Tallent Ct, Ellsworth Afb, SD 57706-1717 | 2009-01-21 |
| 1528330081 | Marryanne Allen | Nurse Practitioner | 105 Red Cloud Ct, Ellsworth Afb, SD 57706-1724 | 2012-01-30 |
| 1710201553 | Ivan Vicente | Military Health Care Provider | 433 Black Elk Ct, Ellsworth Afb, SD 57706-1847 | 2010-03-23 |
| 1831539642 | Brendan Robert Cleary | Pediatrics | 28th Medical Group, Ellsworth Afb, 6000 Doolittle Drive, Rapid City, SD 57706-1873 | 2013-06-26 |
| 1922094671 | Scott Anthony Jones | Physical Therapist | 2450 Risner Dr, Ellsworth Afb, SD 57706-4704 | 2005-09-27 |
| 1174703144 | Michelle Renaee Haleck | Dietitian, Registered | 2450 Risner Dr, Ellsworth Air Force Base, Ellsworth Afb, SD 57706-4704 | 2007-11-07 |
| Find all providers in zip 57706 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790101905 | Katherine Goulding | Nurse Practitioner | 422 5th Ave Se, Aberdeen, SD 57401-8104 | 2014-03-12 |
| 1740342997 | Donna L. Peters | Nurse Practitioner | 930 N 10th St, Spearfish, SD 57783-2202 | 2006-12-14 |
| 1336115609 | Elaine G Headrick | Nurse Practitioner | 911 E. 20th St, Ste 200, Sioux Falls, SD 57105-1044 | 2006-02-27 |
| 1659718187 | Arthur James Pepper | Nurse Practitioner | 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 | 2013-05-23 |
| 1942572086 | Trichelle Grace Petermann | Nurse Practitioner | 911 E 20th St, Ste 400, Sioux Falls, SD 57105-1042 | 2012-02-06 |
| 1679874242 | Jennifer Louise Reiner | Nurse Practitioner | 1000 E. 23rd St., Ste. 350, Sioux Falls, SD 57105-2113 | 2010-11-12 |
| 1396797502 | Sheri J. Trudeau | Nurse Practitioner | 400 22nd Ave., Brookings, SD 57006-2497 | 2006-05-16 |
| 1255307450 | Avera Mckennan | Nurse Practitioner | 911 E 20th St, Ste 200, Sioux Falls, SD 57105-1042 | 2006-02-27 |
| City | ELLSWORTH AFB |
| Zip Code | 57706 |
Please comment or provide details below to improve the information on DENISE D CARCAMO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.