Individual provider Active NPI

Fides L Delossantos, RRT

  • Registered Respiratory Therapist
  • Abingdon, MD
National Provider Identifier
1245862705
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
L06460 Issued in MD
Practice address
1905 Scottish Isle CT
Abingdon, MD 21009-3081
Phone
(443) 799-5187
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X L06460 MD Primary

Addresses

Primary practice location

1905 Scottish Isle CT
Abingdon, MD 21009-3081

Mailing address

1905 Scottish Isle CT
Abingdon, MD 21009-3081
Phone (443) 799-5187

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fidesdelossantos@gmail.com

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
L06460MDMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1245862705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SCOTTISH ISLE CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093081",
            "telephone_number": "443-799-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SCOTTISH ISLE CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093081",
            "telephone_number": "443-799-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSSANTOS",
        "first_name": "FIDES",
        "middle_name": "L",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MD",
            "license": "L06460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fidesdelossantos@gmail.com",
            "affiliation": "N",
            "address_1": "1905 Scottish Isle Ct",
            "city": "Abingdon",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210093081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.