Diajiah Philidor, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

4024038 Issued in KY

Practice address

1432 Avoca Ridge Dr Apt 103
Louisville, KY 40223-3289

Phone

(502) 616-0376

NPI assigned

Mar 11, 2025

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

• Senior Haven Personal Care Center

  • PACE Provider Organization
  • Louisville, KY
  • NPI 1962202226
  Authorized official Same address or phone

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1427857580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 AVOCA RIDGE DR APT 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 AVOCA RIDGE DR APT 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233289",
            "telephone_number": "502-616-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIDOR",
        "first_name": "DIAJIAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "4024038",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "4024038",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "KY",
            "license": "4024038",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "KY",
            "license": "4024038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Phelps
• Melissa Phelps, LCSW
• Michael Wood Phelps Sr.
• Steven D Phelps, LMFT
• James Frederick Phifer, PH.D.
• Philip J. Feitelson, M.D. PSC
• Prejesh Philips, M.D.
• Shaile Philips, MD
• Morgan Christine Phillipp, OTR
• Shannon Phillippi, M.S. CCC-SLP

• General Practice Registered Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.