Danah Jagueta Balmaceda, NURSE PRACTITIONER

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

0024179828 Issued in VA

Practice address

24430 Stone Springs Blvd
Dulles, VA 20166-2267

Phone

(571) 439-4000

NPI assigned

Aug 10, 2020

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Danah J Balmaceda-Leeson Other name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Commonwealth Critical Care LLCGroup PAC ID 4284909029, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reston Hospital Center Hospital, Reston, VA, CCN 490107
• Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15876/brand/1/csg/1/fhir/r4

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.

• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment Care Compare group NPD
• Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
  • NPI 1629019062

  DC, VA

  Medicare reassignment Care Compare group NPD
• Commonwealth Critical Care LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Alexandria, VA
  • NPI 1891210035
  Medicare reassignment Care Compare group
• Nova Pulmonary Critical Care and Sleep Associates, LLC

  • Pulmonary Disease Physician
  • Dulles, VA
  • NPI 1932633682
  Medicare reassignment NPD
• Virginia Critical Care PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Lorton, VA
  • NPI 1053067348
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Reston Hospital Center LLC

  dba Reston Hospital Center

  • General Acute Care Hospital
  • Reston, VA
  • NPI 1053363853
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Williamsburg Regional Medical Center

  • General Acute Care Hospital
  • Williamsburg, VA
  • NPI 1619938149
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1033720487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662267",
            "telephone_number": "571-349-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662267",
            "telephone_number": "571-439-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Sentara Cir Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-984-3975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALMACEDA",
        "first_name": "DANAH",
        "middle_name": "JAGUETA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024179828",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024179828",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024179828",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "VA",
            "license": "0024179828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chantilly",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Chantilly",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Chantilly",
            "address_1": "24440 Stone Springs Blvd",
            "city": "Dulles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201662247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DULLES",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DULLES",
            "address_1": "24430 Stone Springs Blvd",
            "city": "Dulles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201662267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DULLES",
            "affiliation": "N",
            "address_1": "24440 Stone Springs Blvd",
            "city": "Dulles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201662247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DULLES",
            "affiliation": "N",
            "address_1": "24440 Stone Springs Blvd",
            "city": "Dulles",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201662247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANAH",
            "last_name": "BALMACEDA-LEESON",
            "middle_name": "J",
            "credential": "MARRIED NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Critical Care Medicine Nurse Practitioner in Dulles, VA
• Providers in Dulles, VA by specialty
• Critical Care Medicine Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.

Verify at the official NPI Registry.