DARLENE MCMIDDLETON NP NPI 1144267642

NPI Information

NPI: 1144267642
Provider Name: DARLENE MCMIDDLETON, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1963 4TH AVE
SAN DIEGO, CA
ZIP 92101
Phone: (619) 275-0822
Get Directions

Darlene Mcmiddleton, NP is a psychiatric/mental health nurse practitioner in San Diego, CA. Darlene Mcmiddleton, NP NPI is 1144267642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1963 4TH AVE
SAN DIEGO, CA
ZIP 92101-394
Phone: (619) 275-0822
Fax: (619) 275-5069

The NPI 1144267642 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 4/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	50-03922	NORTH CAROLINA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		95003647	CALIFORNIA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95003647	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95003647	OTHER	CALIFORNIA	PSYCHIATRIC MENTAL HEALTH NP
2	95003647	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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