Individual provider Active NPI

Edda E Didonato, FAMILY NP

  • Nurse Practitioner
  • Georgetown, DE
National Provider Identifier
1306253281
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000765 Issued in DE
Practice address
10 W Laurel St
Georgetown, DE 19947-1424
Phone
(302) 855-0915
Fax
(302) 855-0914
NPI assigned
Jul 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000765 DE
Nurse Practitioner 363L00000X LG-0000765 DE Primary

Addresses

Primary practice location

10 W Laurel St
Georgetown, DE 19947-1424

Mailing address

10 W Laurel St
Georgetown, DE 19947-1424
Phone (302) 855-0915

Other names 1

  • Edda E Vargas Didonato Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20160113001987 DE Practitioner - Nurse Practitioner 5698077238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seaford Internal Medicine LLCGroup PAC ID 5597843763, 6 clinicians

Practice addresses (Care Compare)

1501 Middleford Rd
Seaford, DE 19973-3615
Phone (302) 629-4569

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000765DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seaford Internal Medicine LLC CurrentSince Apr 27, 2021 Accepting new patients
Sussex Pulmonary and Endocrine Consultants, PA CurrentSince Aug 8, 2016 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Feb 18, 2019 Accepting new patients
Seaford Internal Medicine LLC CurrentSince Apr 27, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10 W Laurel St
Georgetown, DE 19947
Phone (302) 855-0915

34381 Carpenters Way
Lewes, DE 19958
Phone (302) 644-7201

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

1501 Middleford Rd
Seaford, DE 19973
Phone (302) 378-1022

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBGAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1306253281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W LAUREL ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471424",
            "telephone_number": "302-855-0915",
            "fax_number": "302-855-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W LAUREL ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471424",
            "telephone_number": "302-855-0915",
            "fax_number": "302-855-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDONATO",
        "first_name": "EDDA",
        "middle_name": "E",
        "credential": "FAMILY NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000765",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDA",
            "last_name": "VARGAS DIDONATO",
            "middle_name": "E",
            "credential": "FAMILY NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.