Active NPI
Diana Stacey Galdamez
- Home Health Aide
- Washington, DC
National Provider Identifier
1003174681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 820 Upshur St NW
Washington, DC 20011-5837 - Phone
- (202) 723-0304
- Fax
- (202) 723-0367
- NPI assigned
- May 2, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
820 Upshur St NW
Washington, DC 20011-5837
Mailing address
1816 Keokee St
Hyattsville, MD 20783-4558
Phone (301) 768-2267
Other practice location 1
1818 New York Ave
Global Healthcare Inc. Suite 117
NE, DC 20002
Phone (202) 480-0813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003174681 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Nursing Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Washington, DC
- NPI 1154484251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003174681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 KEOKEE ST",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207834558",
"telephone_number": "301-768-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 UPSHUR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115837",
"telephone_number": "202-723-0304",
"fax_number": "202-723-0367"
}
],
"practiceLocations": [
{
"address_1": "1818 New York Ave",
"address_2": "Global Healthcare Inc. Suite 117",
"address_purpose": "LOCATION",
"city": "NE",
"state": "DC",
"postal_code": "20002",
"country_code": "US",
"telephone_number": "202-480-0813",
"fax_number": "202-503-2363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALDAMEZ",
"first_name": "DIANA",
"middle_name": "STACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003174681",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.