Active NPI
Daydream Sunshine Initiative
- Infectious Disease Physician
- Bowie, MD
National Provider Identifier
1205435328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- DAYDREAM SUNSHINE INITIATIVE
- Practice address
- 4000 Mitchellville Rd Ste A406
Bowie, MD 20716-3139 - Phone
- (301) 262-0400
- NPI assigned
- Oct 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Hernandez
- Title
- Billing Specialist
- Phone
- (980) 989-9487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
4000 Mitchellville Rd Ste A406
Bowie, MD 20716-3139
Mailing address
4000 Mitchellville Rd Ste A404
Bowie, MD 20716-3137
Phone (301) 262-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2223882 | Daydream Sunshine Initiative | Certificate of waiver | May 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
4000 Mitchellville Rd
Ste A406
Bowie, MD 20716
Phone (301) 262-0400
4000 Mitchellville Rd
Ste A6
Bowie, MD 20716
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Bowie, MD
- NPI 1780318014
DC
-
- Family Nurse Practitioner
- Kernersville, NC
- NPI 1407015217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1205435328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE A404",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163137",
"telephone_number": "301-262-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE A406",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163139",
"telephone_number": "301-262-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYDREAM SUNSHINE INITIATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-20",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "980-989-9487"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.