NPIMap

Organization Active NPI

Georgetown University

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1053041699
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
GEORGETOWN UNIVERSITY
Practice address
3700 Reservoir Rd NW
Washington, DC 20007-2111
Phone
(202) 687-3912
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Ladan Eshkevari, PHD, CRNA
Title
Dnap Program Director
Phone
(202) 687-3912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

3700 Reservoir Rd NW
Washington, DC 20007-2111

Mailing address

3039 Q St NW Apt 30
Washington, DC 20007-3095

National Provider Directory

National Provider Directory

Locations

3700 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-0100

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1053041699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 Q ST NW APT 30",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072111",
            "telephone_number": "202-687-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ESHKEVARI",
        "authorized_official_first_name": "LADAN",
        "authorized_official_title_or_position": "DNAP PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "202-687-3912",
        "authorized_official_credential": "PHD, CRNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.