Gnima Diaw, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

115074 Issued in WV

Practice address

99 Tavern Rd
Martinsburg, WV 25401-2890

Phone

(304) 263-4999

NPI assigned

May 13, 2024

Last updated

May 31, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shenandoah Valley Medical System,Inc.Group PAC ID 9739093097, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gnima.diaw.1@32629.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

• Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Martinsburg, WV
  • NPI 1083617823
  Medicare reassignment Care Compare group NPD
• Shenandoah Valley Medical System, Inc.

  dba Shenandoah Community Health South Middle

  • Federally Qualified Health Center (FQHC)
  • Martinsburg, WV
  • NPI 1235853144
  NPD
• Shenandoah Valley Medical System,Inc.

  • Federally Qualified Health Center (FQHC)
  • Charles Town, WV
  • NPI 1992904668
  NPD
• Shenandoah Valley Medical System, Inc.

  dba Shenandoah Community Health Widmyer Elementary

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1568186153
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  dba Winchester Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Winchester, VA
  • NPI 1023217452
  NPD (past)

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1184472318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TUXFORD RD",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254191637",
            "telephone_number": "202-677-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012890",
            "telephone_number": "304-263-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAW",
        "first_name": "GNIMA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "115074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathryn Mary Deronda, MSW, LGSW
• Tammy Sue Detweiler
• David Benjamin Deuell, D.O.
• Sandra Devonshire
• Diabetes, Endocrinology & Lipidology Center, Inc.
• Alfred Diaz, BA
• Stacey Diaz
• Jennifer Dick
• Karissa Dicken, RN
• Laurie Ann Diehl-Lamp, MD

• Psychiatric/Mental Health Nurse Practitioner in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.