NPIMap

Organization Active NPI

Diabetes Self Care Management Institute, LLC

  • Clinical Nurse Specialist
  • Hyattsville, MD
National Provider Identifier
1750911798
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
Legal business name
DIABETES SELF CARE MANAGEMENT INSTITUTE, LLC
Practice address
3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone
(301) 245-3082
Fax
(301) 978-7986
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Marjorie Ray Madikoto, CFNP
Title
Provider
Phone
(301) 245-3082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364S00000X Primary

Addresses

Primary practice location

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146

Mailing address

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone (301) 245-3082

Other practice location 1

1647 Benning Rd NE Ste 200
Washington, DC 20002-4570
Phone (301) 245-3083

National Provider Directory

National Provider Directory
Tax ID family
Diabetes Self Care Management Insti2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1750911798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "301-245-3082",
            "fax_number": "301-978-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "301-245-3082",
            "fax_number": "301-978-7986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1647 Benning Rd NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024570",
            "country_code": "US",
            "telephone_number": "301-245-3083",
            "fax_number": "301-978-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES SELF CARE MANAGEMENT INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MADIKOTO",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-245-3082",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 17, 2020; 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.