MRS. DELITA DANYELLE SHIELDS (NPI# 1811245772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811245772 |
| Entity Type | Individual |
| Full Name | MRS. DELITA DANYELLE SHIELDS |
| Credential | IDC |
| Practice Address |
915 N St Se Building: 175 Washington DC 20374-5162 |
| Practice Telephone | 9105459284 |
| Mailing Telephone | 9105459284 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2015-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
915 N ST SE BUILDING: 175 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20374-5162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548562572 | Kenneth Russell Jenkins | Pharmacist | 915 N St Se, Washington, DC 20374-5162 | 2010-11-24 |
| 1043570021 | Monica Irene Noce | Physician Assistant | 915 N St Se, Bldg 175, Washington, DC 20374-5162 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548437262 | Wesley Delaine Thomas | Dentist | 915 N Street Se, Bldg 175, 2nd Floor, Washington, DC 20374 | 2008-05-12 |
| 1164575718 | Deborah Marie Holmes | Physical Therapist | 6309 Baltimore Ave, 301, Riverdale, MD 20374 | 2007-01-18 |
| 1285628263 | Wanda Dixon | Dental Hygienist | 166 Buchanan St Se, Washington, DC 20374 | 2005-09-07 |
| 1922105774 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | 901 M St Se Bldg 183, Washington, DC 20374-0001 | 2006-09-20 |
| 1386638096 | Jonathan Lee Haun | Dentist | 901 M St Se, Bldg #166, Branch Dental Clinic, Wny, Washington, DC 20374-0001 | 2005-09-08 |
| 1376536755 | Francisco Rene Leal | Dentist | 1016 Buchanan St Se, Branch Health Clinic, Washington Navy Yard, Washington Navy Yard, DC 20374-5020 | 2005-08-31 |
| 1942306402 | Philip J Vargas | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2006-09-15 |
| 1366422826 | Reva B Press | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2006-01-20 |
| 1932190329 | Robert Jeffrey Caldwell | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2005-11-03 |
| 1134113764 | Deborah Kay Johnson | Dentist | 1016 Buchanan St Se, Washington, DC 20374-5020 | 2005-09-09 |
| Find all providers in zip 20374 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912359548 | Jessica Lee Nash | Military Health Care Provider | 5811 Army Pentagon # 8, Washington, DC 20310-0001 | 2016-07-07 |
| 1083868186 | Michael Stephen Lackney | Military Health Care Provider | Dthc Arlington Navy Annex Clinic, F.o.b. #2 Room 1323, Washington, DC 20370-0001 | 2008-11-17 |
| 1013097674 | James C. Morgan | Military Health Care Provider | Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2006-10-17 |
| 1033138896 | Brian A Richardson | Military Health Care Provider | 2100 2nd Street South West, Washington, DC 20593-0001 | 2006-07-19 |
| 1275502551 | Christopher Lee Brey | Military Health Care Provider | Bureau of Medicine and Surgery, 2300 E Street, Nw, Washington, DC 20372-5300 | 2006-03-17 |
| 1760451520 | Ralph Sanchez | Military Health Care Provider | 5801 Army Pentagon, Washington, DC 20310-5801 | 2006-03-15 |
| 1033196597 | Kevin Joseph Bishop | Military Health Care Provider | U.S. Coast Guard, 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2005-12-27 |
| 1538340765 | Rorai Greenan | Military Health Care Provider | Uscg Hq Comdt (cg1122), 2100 Second Street Sw, Washington, DC 20593-0001 | 2007-11-15 |
| 1710020763 | Ryan Michael Gauger | Military Health Care Provider | Comdt Cg-1122 Us Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 | 2007-02-15 |
| 1821137449 | Darin William Schneider | Military Health Care Provider | 2100 2nd St Sw, Washington, DC 20593-0002 | 2007-02-06 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20374 |
Please comment or provide details below to improve the information on MRS. DELITA DANYELLE SHIELDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.