MS. IDETTE BRUMBAUGH RN
NPI 1063178820
Registered Nurse - Home Health in Damascus, MD

Q: What is Idette Brumbaugh's NPI number?

The NPI number for Idette Brumbaugh is 1063178820. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Q: What is Idette Brumbaugh's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Q: When was this NPI record last updated?

The NPPES record for Idette Brumbaugh was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2021

30 SHELLDRAKE CT, DAMASCUS, MD 20872(301) 758-0866(301) 253-5174 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Nov 17, 2021 (2 updates tracked since 2021).

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About Ms. Idette Brumbaugh Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IDETTE BRUMBAUGH RN (NPI 1063178820) is an individual home health provider in Damascus, Maryland, licensed in Maryland (R107452) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1063178820

Entity TypeIndividualFemale

Primary Taxonomy163WH0200X

Provider Legal NameMS. IDETTE BRUMBAUGHCredential: RN

Location Address30 SHELLDRAKE CTDamascus, MD 20872-2614

Mailing Address30 Shelldrake CtDamascus, MD 20872-2614 · (301) 758-0866 · Fax (301) 253-5174

Phone(301) 758-0866

Fax(301) 253-5174

Sole ProprietorNo

Enumeration DateNovember 16, 2021

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

NPPES CertifiedNovember 29, 2021

✔ NPI 1063178820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers

Taxonomy Code163WH0200X

License✔ Licensed in MD · R107452

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License R107452 (MD)

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License R107452 (MD)

Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License R107452 (MD)

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License R107452 (MD)

30 SHELLDRAKE CT, Damascus, MD 20872

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ON CALL HEALTHCARE LLC

Registered Nurse (Wound Care)

30 SHELLDRAKE CT
DAMASCUS, MD 20872

Montgomery County (410) 991-9079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idette Brumbaugh's NPI number?

The NPI number for Idette Brumbaugh is 1063178820. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Idette Brumbaugh located?

Idette Brumbaugh practices at 30 Shelldrake Ct, Damascus, MD 20872. The listed phone number is (301) 758-0866.

What is Idette Brumbaugh's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Idette Brumbaugh was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.