Individual provider Active NPI

Aicha Diaby

  • Home Health Registered Nurse
  • Upper Marlboro, MD
National Provider Identifier
1104412667
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
A00039870 Issued in MD
Practice address
1132 Ring Bill Loop
Upper Marlboro, MD 20774-7166
Phone
(301) 257-6195
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X A00039870 MD Primary

Addresses

Primary practice location

1132 Ring Bill Loop
Upper Marlboro, MD 20774-7166

Mailing address

1132 Ring Bill Loop
Upper Marlboro, MD 20774-7166
Phone (301) 257-6195

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

State licenses

LicenseStateTypeSpecialty
A00039870MDMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1104412667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 RING BILL LOOP",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747166",
            "telephone_number": "301-257-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 RING BILL LOOP",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747166",
            "telephone_number": "301-257-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIABY",
        "first_name": "AICHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "A00039870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.