Active NPI
Comfortgladys Diala
- Registered Nurse
- Englewood, OH
National Provider Identifier
1548858681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 461343
- Practice address
- 6520 Golf Manor CT
Englewood, OH 45322-3624 - Phone
- (937) 450-9170
- Fax
- (937) 540-9170
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 5, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 461343 | OH | Primary |
Addresses
Primary practice location
6520 Golf Manor CT
Englewood, OH 45322-3624
Mailing address
6520 Golf Manor CT
Englewood, OH 45322-3624
Phone (937) 450-9170
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | gdiala28@gmail.com | ||
| Other URL | gdiala28@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
| License | State | Type | Specialty |
|---|---|---|---|
| 461343 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyricomfort Home Healthcare Services, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1548858681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 GOLF MANOR CT",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453223624",
"telephone_number": "937-450-9170",
"fax_number": "937-540-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 GOLF MANOR CT",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453223624",
"telephone_number": "937-450-9170",
"fax_number": "937-540-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIALA",
"first_name": "COMFORTGLADYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "461343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "gdiala28@gmail.com",
"affiliation": "N",
"address_1": "6520 Golf Manor Ct",
"city": "Englewood",
"state": "OH",
"country_code": "US",
"postal_code": "453223624",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "gdiala28@gmail.com",
"affiliation": "N",
"address_1": "6520 Golf Manor Ct",
"city": "Englewood",
"state": "OH",
"country_code": "US",
"postal_code": "453223624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.