Individual provider Active NPI

Dianna Marie Brown, FNP-C

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1063193399
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R204674 Issued in MD
Practice address
9715 Medical Center Dr Ste 202
Rockville, MD 20850-6305
Phone
(301) 377-9766
Fax
(240) 715-9125
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R204674 MD Primary

Addresses

Primary practice location

9715 Medical Center Dr Ste 202
Rockville, MD 20850-6305

Mailing address

9715 Medical Center Dr Ste 202
Rockville, MD 20850-6305
Phone (301) 337-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123003671 DC Practitioner - Nurse Practitioner 6406208636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Cardiac Care, LLCGroup PAC ID 2365834611, 3 clinicians

Practice addresses (Care Compare)

9715 Medical Ctr Dr
Suite 202
Rockville, MD 20850-6305
Phone (301) 337-9766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R204674MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Cardiac Care, LLC CurrentSince Mar 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

350 Fortune Ter
Ste C
Potomac, MD 20854
Phone (202) 751-6519

9715 Medical Center Dr
Ste 202
Rockville, MD 20850
Phone (301) 337-9766

11886 Healing Way
Ste 401
Silver Spring, MD 20904
Phone (240) 637-7100

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.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1063193399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506305",
            "telephone_number": "301-337-9766",
            "fax_number": "240-715-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506305",
            "telephone_number": "301-377-9766",
            "fax_number": "240-715-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DIANNA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.