Healthcare Provider Details

I. General information

NPI: 1275934184
Provider Name (Legal Business Name): KATIE DEPALMA CNM/WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 BLADENSBURG RD NE
WASHINGTON DC
20018-1440
US

IV. Provider business mailing address

2120 BLADENSBURG RD NE
WASHINGTON DC
20018-1440
US

V. Phone/Fax

Practice location:
  • Phone: 202-540-9857
  • Fax: 202-232-8494
Mailing address:
  • Phone: 202-540-9857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM1048186
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR187792
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: