Individual provider Active NPI

Diana D Naidoo, AGACNP

  • Adult Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1386243855
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024178477 Issued in VA
Practice address
417 Libbie Ave
Richmond, VA 23226-2615
Phone
(804) 288-1953
NPI assigned
Oct 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024178477 VA Primary

Addresses

Primary practice location

417 Libbie Ave
Richmond, VA 23226-2615

Mailing address

417 Libbie Ave
Richmond, VA 23226-2615
Phone (804) 288-1953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201102001349 VA Practitioner - Nurse Practitioner 6608286760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Healing,LLCGroup PAC ID 3870837974, 8 clinicians

Practice addresses (Care Compare)

384 S Pantops Dr
Charlottesville, VA 22911-8678
Phone (607) 725-0948

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
83.78
Promoting interoperability
95
Improvement activities
40
Cost
76.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Healing,LLC CurrentSince Apr 29, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: diananaidoo@vsapc.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1386243855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 LIBBIE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262615",
            "telephone_number": "804-288-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBBIE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262615",
            "telephone_number": "804-288-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDOO",
        "first_name": "DIANA",
        "middle_name": "D",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024178477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.