Active NPI
Angelica Fernandez Dizon, NP
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1004381
- Practice address
- 1145 19TH St NW Ste 410
Washington, DC 20036-3716 - Phone
- (202) 331-1740
- Fax
- (202) 296-9784
- NPI assigned
- Nov 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN1004381 | DC | Primary |
Addresses
Primary practice location
1145 19TH St NW Ste 410
Washington, DC 20036-3716
Mailing address
1145 19TH St NW Ste 410
Washington, DC 20036-3716
Phone (202) 331-1740
Other practice location 1
407 N Washington St Ste 105
Falls Church, VA 22046-3436
Phone (703) 533-9211
Other practice location 2
5550 Friendship Blvd Ste 210
Chevy Chase, MD 20815-7201
Phone (301) 654-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1145 19TH St NW
Suite 410
Washington, DC 20036-3716
2201 Richland PL
Silver Spring, MD 20910-2332
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1004381 | DC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reiter and Hill PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12440/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/21608/brand/4/csg/41/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1861986572
DC
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- Washington, DC
- NPI 1457560732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023522638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 19TH ST NW STE 410",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363716",
"telephone_number": "202-331-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 19TH ST NW STE 410",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363716",
"telephone_number": "202-331-1740",
"fax_number": "202-296-9784"
}
],
"practiceLocations": [
{
"address_1": "407 N Washington St Ste 105",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220463436",
"country_code": "US",
"telephone_number": "703-533-9211",
"fax_number": "703-533-9401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5550 Friendship Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208157201",
"country_code": "US",
"telephone_number": "301-654-5700",
"fax_number": "301-718-8330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIZON",
"first_name": "ANGELICA",
"middle_name": "FERNANDEZ",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1004381",
"primary": true
}
],
"identifiers": [],
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.