Taibu Borbor Daramy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN00002558 Issued in DC

Practice address

2811 Pennsylvania Ave SE
Washington, DC 20020-3865

Phone

(202) 882-9310

NPI assigned

May 20, 2021

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premium Select Home Care Inc

  • Home Health Agency
  • Washington, DC
  • NPI 1437289840
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1942875299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 EDWARDS WAY APT 404",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207833456",
            "telephone_number": "240-472-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203865",
            "telephone_number": "202-882-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAMY",
        "first_name": "TAIBU",
        "middle_name": "BORBOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN00002558",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qurratul-Ain Dar, MD
• Sofia Dar, MD
• Taiwo O Daramola
• Isata Daramy I
• Phanta Daramy
• Anil Darbari, M.D.
• Deepika Darbari, MD
• Angela Darby
• Keyaunta Darby
• Reginald Darby

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.