Individual provider Active NPI

Delphine Ameh Fonda

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1790163335
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1059426 Issued in DC
Practice address
1414 Upshur St NW Apt 201
Washington, DC 20011-5552
Phone
(202) 361-9315
NPI assigned
May 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA11178 DC
Registered Nurse 163W00000X RN1059426 DC Primary

Addresses

Primary practice location

1414 Upshur St NW Apt 201
Washington, DC 20011-5552

Mailing address

1414 Upshur St NW Apt 201
Washington, DC 20011-5552
Phone (202) 361-9315

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
RN1059426DCMDRegistered Nurse
HHA11178DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1790163335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 UPSHUR ST NW APT 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115552",
            "telephone_number": "202-361-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 UPSHUR ST NW APT 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115552",
            "telephone_number": "202-361-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDA",
        "first_name": "DELPHINE",
        "middle_name": "AMEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11178",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1059426",
            "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 Oct 21, 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.