Individual provider Active NPI

Olabisi Agatha Daramy, MS. LD. CNS

  • Nutrition Education Nutritionist
  • Hyattsville, MD
National Provider Identifier
1619193810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
D01243 Issued in MD
Practice address
6475 New Hampshire Ave
Suite 504M
Hyattsville, MD 20783-3269
Phone
(301) 891-4998
Fax
(301) 879-2074
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X D01243 MD Primary
Nutrition Education Nutritionist 133NN1002X D183 DC

Addresses

Primary practice location

6475 New Hampshire Ave
Suite 504M
Hyattsville, MD 20783-3269

Mailing address

6475 New Hampshire Ave
Suite 504M
Hyattsville, MD 20783-3269
Phone (301) 891-4998

Other identifiers 2

IdentifierTypeStateIssuer
ZZX1OAOtherMDCAREFIRST BCBS
3927-0001OtherDCCAREFIRST BCBS

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
D183DCMDNutrition Education Nutritionist
D01243MDMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
NHSW, Inc. Nutrition, Education PastSince Jul 19, 2009 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619193810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 504M",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "301-891-4998",
            "fax_number": "301-879-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 504M",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "301-891-4998",
            "fax_number": "301-879-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAMY",
        "first_name": "OLABISI",
        "middle_name": "AGATHA",
        "name_prefix": "Mrs.",
        "credential": "MS. LD. CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "D01243",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "DC",
            "license": "D183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "ZZX1OA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "3927-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.