Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Callen Dunlap

Individual provider Registered Nurse · NPI 1699382325

Carly Callen Dunlap is a Certified Registered Nurse Anesthetist (CRNA) in Santa Rosa, California. Qualified in 2020, 6 years ago. Practices with Mai Nursing Anesthesia PC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone: (707) 393-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1720 4th St, Santa Rosa, CA 95404-3602 — (707) 546-8100

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001476 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 776904 (CA)

Record details

NPI number1699382325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 27, 2020
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address5724 Evening Way, Santa Rosa, CA 95409-4347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mai Nursing Anesthesia Pc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa