Mary Ann Garcia Dimberio, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

86263 Issued in CO

Practice address

5920 McIntyre St
Golden, CO 80403-7445

Phone

(303) 949-1250

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Ann Garcia Pedone Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Meadows Family Medical Center Inc

  • Family Medicine Physician
  • Denver, CO
  • NPI 1962440412
  Medicare reassignment NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1073677654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-949-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-949-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMBERIO",
        "first_name": "MARY ANN",
        "middle_name": "GARCIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "86263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77-8355-8",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ANN",
            "last_name": "PEDONE",
            "middle_name": "GARCIA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gianni Michael Digiacomo
• Kylie Digiacomo, P.T
• Brittney Dillman, PT, DPT, ATC, LAT
• Dillon Companies LLC (King Soopers Pharmacy)
• Abigail Ruth Dimartino, PA-C
• Lee C Dimick, D.C.
• Kimberly Thies Dineen, PA-C
• Cindy Dipaola
• Joseph Dipretoro, DPT
• Michael Shannon Diprimo, ARNP

• Adult Health Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.