Active NPI
June Latisha-Ann Ottley, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R155920
- Practice address
- 5550 Friendship Blvd Ste 590
Chevy Chase, MD 20815-7310 - Phone
- (410) 757-2077
- Fax
- (240) 235-8720
- NPI assigned
- Mar 25, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN1022763 | DC | |
| Adult Health Nurse Practitioner | 363LA2200X | R155920 | MD | |
| Gerontology Nurse Practitioner | 363LG0600X | R155920 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R155920 | MD | Primary |
Addresses
Primary practice location
5550 Friendship Blvd Ste 590
Chevy Chase, MD 20815-7310
Mailing address
8044 Ians Aly
Laurel, MD 20724-6133
Phone (240) 431-1525
Other names 1
- Ms. June Latisha-Ann Gilpin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5550 Friendship Blvd
Suite 590
Chevy Chase, MD 20815-7310
Phone (410) 757-2077
5850 Waterloo Rd
Suite 230
Columbia, MD 21045-1943
Phone (410) 757-2077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1022763 | DC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arundel Mental Health Professionals L.C. | Current | Accepting new patients | |
| Kraus Behavioral Health LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Arundel Mental Health Professionals LLC | Past | Accepting new patients |
Locations
1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184
5550 Friendship Blvd
Ste 590
Chevy Chase, MD 20815
Phone (240) 945-2390
5850 Waterloo Rd
Ste 230
Columbia, MD 21045
Phone (240) 687-7826
1662 Village Grn
#B
Crofton, MD 21114
8133 Elliott Rd
Ste 236A
Easton, MD 21601
Phone (443) 906-3506
Interoperability endpoints
- lifestancehealth.juneottley@149037.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Easton, MD
- NPI 1427784271
-
- Psychiatric/Mental Health Nurse Practitioner
- Windsor Mill, MD
- NPI 1215472923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712448000000",
"number": "1083956437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8044 IANS ALY",
"city": "LAUREL",
"state": "MD",
"postal_code": "207246133",
"telephone_number": "240-431-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 FRIENDSHIP BLVD STE 590",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208157310",
"telephone_number": "410-757-2077",
"fax_number": "240-235-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTLEY",
"first_name": "JUNE",
"middle_name": "LATISHA-ANN",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN1022763",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R155920",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R155920",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R155920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUNE",
"last_name": "GILPIN",
"middle_name": "LATISHA-ANN",
"prefix": "MS.",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.