Active NPI
Daryl Vista Lumagui, IDC
- Independent Duty Medical Technicians
- Portsmouth, NH
National Provider Identifier
1376063859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 1 Ayres Circle, BLDG. H-1, Pnsy
Portsmouth, NH 03804 - Phone
- (207) 438-2450
- NPI assigned
- Jun 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Primary |
Addresses
Primary practice location
1 Ayres Circle, BLDG. H-1, Pnsy
Portsmouth, NH 03804
Mailing address
63 Moore St
Kittery, ME 03904-1371
Phone (310) 940-1577
Other practice location 1
Unit 100211 Box 1
Fpo, AP 96662-1100
Phone (310) 940-1577
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1376063859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 MOORE ST",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041371",
"telephone_number": "310-940-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AYRES CIRCLE, BLDG. H-1, PNSY",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03804",
"telephone_number": "207-438-2450"
}
],
"practiceLocations": [
{
"address_1": "Unit 100211 Box 1",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "966621100",
"country_code": "US",
"telephone_number": "310-940-1577",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "LUMAGUI",
"first_name": "DARYL",
"middle_name": "VISTA",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.