Active NPI
Delmarva Diabetes Center, LLC
- Nurse Practitioner
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DELMARVA DIABETES CENTER, LLC
- Practice address
- 1340 Belmont Ave Unit 503
Salisbury, MD 21804-4590 - Phone
- (443) 978-3000
- NPI assigned
- Jul 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline G Mansy, NP
- Title
- Owner
- Phone
- (443) 978-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1340 Belmont Ave Unit 503
Salisbury, MD 21804-4590
Mailing address
1340 Belmont Ave Unit 503
Salisbury, MD 21804-4590
Phone (443) 978-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2179922 | Delmarva Diabetes Center LLC | Certificate of waiver | Mar 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
1340 Belmont Ave
Ste 503
Salisbury, MD 21804
Phone (443) 978-3000
1340 Belmont Ave
Unit 503
Salisbury, MD 21804
Phone (443) 978-3000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBIIBD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Salisbury, MD
- NPI 1467457622
-
- Family Nurse Practitioner
- Salisbury, MD
- NPI 1346557048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577923200000",
"number": "1386296531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 BELMONT AVE UNIT 503",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218044590",
"telephone_number": "443-978-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 BELMONT AVE UNIT 503",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218044590",
"telephone_number": "443-978-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELMARVA DIABETES CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A",
"authorized_official_last_name": "MANSY",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-978-3000",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
- Joseph Toledo Delino, CRNA
- Brian Delligatti, M.D.
- Delmarva Bariatric Center, P.a.
- Delmarva Chiropractic, P.C.
- Delmarva Dental Services
- Delmarva Family Counseling Center
- Delmarva Hand & Physical Therapy, P.a.
- Delmarva Heart, LLC
- Delmarva Internal & Family Medicine, P.a.
- Delmarva Kidney & Hypertension Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.