Carolyn Dimiceli
Nurse Practitioner • Phoenix, AZ
Professional Overview & Biography Verified Profile Summary
Carolyn Dimiceli is a registered healthcare professional specializing in Nurse Practitioner in Phoenix, AZ. Practice services are available at 4434 N 12TH ST under active NPI credentials.
Practice Location & Contact Primary Location
4434 N 12th St
Phoenix, AZ 850144507
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Phoenix, AZ
Practicing in Phoenix, AZ (1459 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-06-27NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LP0200X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
5940 W Union Hills Dr Ste D100
Glendale, AZ 853081361
Phone: 6026782500
4735 E Union Hills Dr
Phoenix, AZ 850503362
Phone: 6029715121
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Nurse Practitioner - Pediatrics
Certified Pediatric Nurse Practitioner
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics - Adolescent Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 4434 N 12TH ST, PHOENIX, AZ 850144507 (Tel: 6022425121)
Registered at 4434 N 12TH ST, PHOENIX, AZ 850144507 (Tel: 6022425121)
Registered at 5940 W UNION HILLS DR STE D100, GLENDALE, AZ 853081361 (Tel: 6026782500)
Registered at 5940 W UNION HILLS DR STE D100, GLENDALE, AZ 853081361 (Tel: 6026782500)
NPI status registered as active in NPPES database
Registered at 7875 E FLORENTINE RD STE 4, PRESCOTT VALLEY, AZ 863142284 (Tel: 9284435599)
Registered at 4433 W KEATING CIR, GLENDALE, AZ 853083503 (Tel: 6026954636)
Recorded as CAROLYN DIMICELI
Nurse Practitioner (License #259820 in AZ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
4434 N 12th St
Phoenix, AZ 850144507
Phone: 6022425121
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