Organization Active NPI

Primary Care at Home

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1003432014
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Feb 5, 2022

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

Authorized official

Name
Christina Byam, FNP-BCNPI 1588954234
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1588954234MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200804000190 DC Part B Supplier - Clinic/Group Practice 4880019165 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.