Active NPI
Dilys Burg Ticha
- Home Health Aide
- Silver Spring, MD
National Provider Identifier
1487219176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 14151 Castle Blvd Apt 402
Silver Spring, MD 20904-4779 - Phone
- (240) 316-2241
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
14151 Castle Blvd Apt 402
Silver Spring, MD 20904-4779
Mailing address
14151 Castle Blvd Apt 402
Silver Spring, MD 20904-4779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-200-143-101-653 | Other | MD | DRIVER'S LICENSE |
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": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1487219176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14151 CASTLE BLVD APT 402",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209044779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14151 CASTLE BLVD APT 402",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209044779",
"telephone_number": "240-316-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICHA",
"first_name": "DILYS",
"middle_name": "BURG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "T-200-143-101-653",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.