Active NPI
Delante Fludd
- Counselor
- Washington, DC
National Provider Identifier
1568235166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGPC200001628
- Practice address
- 1255 Union St NE FL 7
Washington, DC 20002-7042 - Phone
- (903) 217-6359
- NPI assigned
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGPC200001628 | DC | Primary |
Addresses
Primary practice location
1255 Union St NE FL 7
Washington, DC 20002-7042
Mailing address
1401 Staples St NE Apt 4
Washington, DC 20002-2954
Phone (202) 763-2825
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 |
|---|---|---|---|
| LGPC200001628 | DC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1568235166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 STAPLES ST NE APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200022954",
"telephone_number": "202-763-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 UNION ST NE FL 7",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027042",
"telephone_number": "903-217-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLUDD",
"first_name": "DELANTE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "LGPC200001628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.