Individual provider Active NPI

Demetria Satarra Peay, NURSE PRACTITIONER

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1851901664
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN1034350 Issued in DC
Practice address
1015 15TH St NW Ste 1000
Washington, DC 20005-2621
Phone
(615) 224-5188
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1034350 DC Primary

Addresses

Primary practice location

1015 15TH St NW Ste 1000
Washington, DC 20005-2621

Mailing address

1015 15TH St NW Ste 1000
Washington, DC 20005-2621
Phone (615) 224-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407000250 NC Order and Referring Only - Nurse Practitioner 6103201322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1034350DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Medical Group PC CurrentSince Jun 13, 2022 Accepting new patients

Locations

9500 Medical Center Dr
Ste 105
Upper Marlboro, MD 20774
Phone (202) 220-8929

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1851901664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 15TH ST NW STE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052621",
            "telephone_number": "615-224-5188",
            "fax_number": "844-882-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 15TH ST NW STE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052621",
            "telephone_number": "615-224-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAY",
        "first_name": "DEMETRIA",
        "middle_name": "SATARRA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1034350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.