Kadiatou Dabo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP028968 Issued in PA

Practice address

113 Louise Dr
Upper Chichester, PA 19061-2488

Phone

(703) 395-1210

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  PA

  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newark, DE
  • NPI 1033376231

  PA

  Medicare reassignment NPD
• NJ Pacs 2 PA

  • Hospitalist Physician
  • Mendham, NJ
  • NPI 1740766195

  PA

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  PA

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  DE

  Medicare reassignment NPD
• Murana Home Health Care LLC

  • Home Health Agency
  • Aston, PA
  • NPI 1154104305
  NPD Authorized official
• Murana Home Health Care LLC

  • In Home Supportive Care Agency
  • Aston, PA
  • NPI 1215790704
  NPD Authorized official
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newtown Square, PA
  • NPI 1669880175
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1417728395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LOUISE DR",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612488",
            "telephone_number": "703-395-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LOUISE DR",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612488",
            "telephone_number": "703-395-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABO",
        "first_name": "KADIATOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Conte
• Corelife Valley, LLC
• Patricia Costello, MS, RDN, LDN
• Diane Marie Coughlan, CRNP
• Susan D'Alessandris, OTR/L
• Joanne Damico, RPH
• Hayden Davis, OD
• Delaware Valley Home Care, Inc.
• Jessica Delgiorno
• Diamond Nutrition Counseling, Inc

• Family Nurse Practitioner in Upper Chichester, PA
• Providers in Upper Chichester, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.