Individual provider Active NPI

Demi W Kelley, RN

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1073122404
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1050859 Issued in DC
Practice address
800 6TH St NE
Washington, DC 20002-4326
Phone
(703) 338-8708
Fax
(202) 629-3059
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1050859 DC Primary

Addresses

Primary practice location

800 6TH St NE
Washington, DC 20002-4326

Mailing address

800 6TH St NE
Washington, DC 20002-4326
Phone (703) 338-8708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1050859DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Angel'S Health Care LLC Current Accepting new patients
Loving Angel'S Health Care Corp Current Accepting new patients
Loving Angels Home Health Care, LLC Current Accepting new patients

Organizations & group practices 3

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1073122404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 6TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024326",
            "telephone_number": "703-338-8708",
            "fax_number": "202-629-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 6TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024326",
            "telephone_number": "703-338-8708",
            "fax_number": "202-629-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DEMI",
        "middle_name": "W",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1050859",
            "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 Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.