Individual provider Active NPI

Paulette Anjenie Delapenha, DNP,CRNP

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1275684565
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN47984 Issued in DC
Practice address
1160 Varnum St.
Suite 016
Washington, DC 20017
Phone
(202) 526-8622
NPI assigned
Jan 15, 2007
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN47984 DC Primary
Family Nurse Practitioner 363LF0000X R088887 MD

Addresses

Primary practice location

1160 Varnum St.
Suite 016
Washington, DC 20017

Mailing address

PO Box 198
Ashton, MD 20861-0198
Phone (301) 655-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20101123000091 DC Practitioner - Nurse Practitioner 5799971248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R088887MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Service Center, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1275684565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610198",
            "telephone_number": "301-655-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST.",
            "address_2": "SUITE 016",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "202-526-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAPENHA",
        "first_name": "PAULETTE",
        "middle_name": "ANJENIE",
        "name_prefix": "Dr.",
        "credential": "DNP,CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN47984",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R088887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.