Individual provider Active NPI

Ometries D Giddens, CNA

  • Nurse's Aide
  • Daytona Beach, FL
National Provider Identifier
1497419642
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
369956 Issued in FL
Practice address
705 S Beach St Apt 45
Daytona Beach, FL 32114-5418
Phone
(386) 569-6681
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 369956 FL Primary

Addresses

Primary practice location

705 S Beach St Apt 45
Daytona Beach, FL 32114-5418

Mailing address

705 S Beach St Apt 45
Daytona Beach, FL 32114-5418
Phone (386) 569-6681

Other names 1

  • Ms. Ometries D Giddens Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ometriesgiddens936@gmail.com

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

State licenses

LicenseStateTypeSpecialty
369956FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1497419642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S BEACH ST APT 45",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145418",
            "telephone_number": "386-569-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S BEACH ST APT 45",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145418",
            "telephone_number": "386-569-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "OMETRIES",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "369956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ometriesgiddens936@gmail.com",
            "affiliation": "N",
            "address_1": "705 S Beach St Apt 45",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321145418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OMETRIES",
            "last_name": "GIDDENS",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.