Diabetes Care and Wellness Management LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DIABETES CARE AND WELLNESS MANAGEMENT LLC

Practice address

11801 Trailridge Dr
Potomac, MD 20854-2835

Phone

(954) 487-9057

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Toni Patricia Lattibeaudiere, FNP-CNPI 1558781906

Title

Owner/Sole Provider

Phone

(954) 487-9057

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toni Patricia Lattibeaudiere, APRN

  • Adult Health Nurse Practitioner
  • Potomac, MD
  • NPI 1558781906

  Family

  NPD Authorized official

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1982426714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 TRAILRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 TRAILRIDGE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542835",
            "telephone_number": "954-487-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CARE AND WELLNESS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "LATTIBEAUDIERE",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/SOLE PROVIDER",
        "authorized_official_telephone_number": "954-487-9057",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahalia Debru
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• Cecilia Del Rio, PSY.D.
• Dentistry for Children of Maryland 2 LLC
• Dentistry for Children of Maryland, LLC
• Dietitian Alliance LLC
• Atifah Diggs, MS, CCC/SLP
• Mailien Dinh, PHARM.D.
• Naomi Disten, DDS
• Robert T DO, M.D.

• Family Nurse Practitioner in Potomac, MD
• Providers in Potomac, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.