Active NPI
Ellen Marie Townley O'Gara, NP
- Family Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1023068657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R115629
- Practice address
- 7809 Wisconsin Ave
Minute Clinic
Bethesda, MD 20814-3523 - Phone
- (301) 986-9144
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN67863 | DC | |
| Family Nurse Practitioner | 363LF0000X | R115629 | MD | Primary |
Addresses
Primary practice location
7809 Wisconsin Ave
Minute Clinic
Bethesda, MD 20814-3523
Mailing address
5100 Dorset Ave
405
Chevy Chase, MD 20815-5465
Phone (202) 486-8773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003103800 | Medicaid | MD | |
| 025775300 | Medicaid | DC |
Other names 1
- Ellen Marie Townley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN67863 | DC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Hospital Center Corp | Past | Accepting new patients | |
| MC Medical Group of DC, PC | Family | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1063644466
-
- Psychiatry Physician
- Washington, DC
- NPI 1881637619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1023068657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 DORSET AVE",
"address_2": "405",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208155465",
"telephone_number": "202-486-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7809 WISCONSIN AVE",
"address_2": "MINUTE CLINIC",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143523",
"telephone_number": "301-986-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GARA",
"first_name": "ELLEN MARIE",
"middle_name": "TOWNLEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN67863",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R115629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003103800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025775300",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "TOWNLEY",
"middle_name": "MARIE",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.