Individual provider Active NPI

Angelica Fernandez Dizon, NP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1023522638
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1004381 Issued in DC
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324000081 DC Practitioner - Nurse Practitioner 9032547161 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RN1004381DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reiter and Hill PLLC PastSince Apr 1, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12440/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.