Individual provider Active NPI

Diana Stacey Galdamez

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1003174681
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1003174681MedicaidDC

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.