Active NPI
Primary Care at Home
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1003432014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRIMARY CARE AT HOME
- Practice address
- 5614 Connecticut Ave NW # 286
Washington, DC 20015-2604 - Phone
- (202) 870-2637
- Fax
- (323) 334-1443
- NPI assigned
- Jun 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Byam, FNP-BC
- Title
- Nurse Practitioner
- Phone
- (202) 642-1435
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5614 Connecticut Ave NW # 286
Washington, DC 20015-2604
Mailing address
5614 Connecticut Ave NW # 286
Washington, DC 20015-2604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588954234 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5614 Connecticut Ave NW
Washington, DC 20015
Phone (202) 642-1435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644019200000",
"number": "1003432014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5614 CONNECTICUT AVE NW # 286",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152604",
"fax_number": "323-334-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5614 CONNECTICUT AVE NW # 286",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152604",
"telephone_number": "202-870-2637",
"fax_number": "323-334-1443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE AT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-25",
"last_updated": "2022-02-05",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "BYAM",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "202-642-1435",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588954234",
"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 Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.