MS. CAMILLE B DICLERICO (NPI# 1891772976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891772976 |
| Entity Type | Individual |
| Full Name | MS. CAMILLE B DICLERICO |
| Credential | MSN |
| Practice Address |
401 Carpenter Rd Rader Army Clinic Fort Myer VA 22211 |
| Practice Telephone | 7036963662 |
| Mailing Telephone | 7036963662 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
174661 | NY | Nursing Service Providers |
| Street Address |
401 CARPENTER RD RADER ARMY CLINIC |
| City | FORT MYER |
| State | VA |
| Zip Code | 22211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430677 | Austin Wayne Williams | Dental Assistant | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2020-09-02 |
| 1750740502 | Jennifer Marie Westcott | Dietitian, Registered | 401 Carpenter Rd, Bldg 525, Rm 1065, Fort Myer, VA 22211-1009 | 2016-02-22 |
| 1427471572 | Kathryn Nicole Morrill | Social Worker | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2014-01-27 |
| 1255753893 | Anh Trieu | Pharmacist | 401 Carpenter Rd, Building 525 Room 125, Fort Myer, VA 22211-1009 | 2014-01-16 |
| 1831510627 | Vanessa Bonner | Physical Therapist | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-12-20 |
| 1457789208 | Lucy Duckworth | Registered Nurse | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-10-14 |
| 1245667005 | Sandra Carr | Registered Nurse | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-10-10 |
| 1285060186 | Janet Ann Cvrk | Registered Nurse | 401 Carpenter Rd, Rader Us Army Health Clinic, Fort Myer, VA 22211-1009 | 2013-09-24 |
| 1679815625 | Paul S Hahn | Dermatology | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-03-17 |
| 1477866143 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 401 Carpenter Rd, Building 525 Room 1024, Fort Myer, VA 22211-1009 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113306 | Caroline Vickers | Physician Assistant | Radar Us Army Health Clinic, 401 Carpenter Road, Fort Myer, VA 22211 | 2018-11-20 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1194706820 | Joel Margolis | Podiatrist | 525 Carpenter Road, Rader Clinic, Ft. Myer, VA 22211 | 2005-11-09 |
| 1124000492 | Peter Contos II | Physical Therapist | 401 Carpenter Road, Building #525, Arlington, VA 22211 | 2005-11-14 |
| 1205817962 | Sharon L Gray | Social Worker | 525 Carpenter Road, Fort Myer, VA 22211 | 2005-11-09 |
| 1225028590 | Marvin E Bloom | Family Medicine | 450 Carpenter Rd, Rader Clinic, Ft Myer, VA 22211-1008 | 2005-10-26 |
| 1033533039 | Jacqueline H Ware | Pharmacist | 401 Carpenter Road, Bldg 525, Andrew Rader Us Army Health Clinic, Ft Myer, VA 22211-1009 | 2014-02-11 |
| 1306149182 | Crystal Lynn Sims | Physical Therapist | 401 Carpenter Rd Ste 1, Fort Myer, VA 22211-1009 | 2010-12-16 |
| 1386620680 | Jeffery Scott Porter | Pediatrics | 401 Carpenter Rd Bldg 525, Room 120, Fort Myer, VA 22211-1009 | 2005-12-19 |
| 1316353782 | Kimbrough Acc Military Mtf | Pharmacy | 401 Carpenter Rd Bldg 525, Fort Myer, VA 22211-1009 | 2014-07-07 |
| Find all providers in zip 22211 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025252 | Ashley Davis | Registered Nurse | 4804 Thornwood St, Portsmouth, VA 23703-3625 | 2020-08-26 |
| 1649899253 | Bridget Mulvihill Jennison | Registered Nurse | 99 Tremont Street, Manassas Park, VA 20111-2011 | 2020-04-14 |
| 1609192350 | Joanne Gingrich Crass | Registered Nurse | 917 Bobolink Dr, Virginia Beach, VA 23451-4944 | 2010-04-20 |
| 1124202999 | Charlotte V Neumann | Registered Nurse | 2792 Harrison Loop, Fort Eustis, VA 23604-2001 | 2007-12-28 |
| 1114094760 | Zeenat Ryatt | Registered Nurse | 6015 Bush Hill Dr, Alexandria, VA 22310-1105 | 2006-11-29 |
| 1760555627 | Concepcion Mungcal Balatbat | Registered Nurse | 2605 Beacon Hill Rd, Alexandria, VA 22306-1611 | 2006-11-16 |
| 1922056910 | La Francis Diann Francis | Registered Nurse | Nmcp, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2006-05-04 |
| 1043298003 | George Norman Williams IIi | Registered Nurse | Bldg 2762 Harrison Loop, Ft Eustis, VA 23604 | 2006-01-09 |
| 1558343590 | Belkys Fiame | Registered Nurse | 501 Butler Farm Rd, Hampton, VA 23666-1564 | 2005-11-16 |
| 1730179219 | Lesia Kim Hutcheson | Registered Nurse | Mcdonald Army Community Hospital, Jefferson Avenue, Bldg 576, Fort Eustis, VA 23604 | 2005-10-25 |
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| 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.