Active NPI
Nicholas John Riesland, MD
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1063482784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00019113
- Practice address
- 2401 E Street NW
Office of Medical Services, US Department of State
Washington, DC 20522-0102 - Phone
- (202) 663-1649
- Fax
- (202) 663-1613
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00019113 | WA | Primary |
Addresses
Primary practice location
2401 E Street NW
Office of Medical Services, US Department of State
Washington, DC 20522-0102
Mailing address
Unit 8400 Box 2
Fpo, AE 09498-4007
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00019113 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063482784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "UNIT 8400 BOX 2",
"city": "FPO",
"state": "AE",
"postal_code": "094984007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E STREET NW",
"address_2": "OFFICE OF MEDICAL SERVICES, US DEPARTMENT OF STATE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220102",
"telephone_number": "202-663-1649",
"fax_number": "202-663-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESLAND",
"first_name": "NICHOLAS",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00019113",
"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 Jul 21, 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.