Provider Demographics
NPI:1902080096
Name:DINAPOLI, CARINA APRIL (RD LDN)
Entity Type:Individual
Prefix:MRS
First Name:CARINA
Middle Name:APRIL
Last Name:DINAPOLI
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 BRIMBAL AVE
Mailing Address - Street 2:UNIT E
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-921-2052
Mailing Address - Fax:978-922-7172
Practice Address - Street 1:133 BRIMBAL AVE
Practice Address - Street 2:UNIT E
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-921-2052
Practice Address - Fax:978-922-7172
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA69133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAD1MT0400Medicare PIN