Individual provider Active NPI

Misty Embrey, M.D.

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1104351030
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD210001481 Issued in DC
Practice address
908 New Hampshire Ave NW Ste 200
Washington, DC 20037-2334
Phone
(202) 833-5055
NPI assigned
Apr 28, 2017
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0091159 MD
Psychiatry Physician 2084P0800X 0101273955 VA
Psychiatry Physician 2084P0800X 70338 WI
General Practice Physician 208D00000X 70338-20 WI
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD210001481 DC Primary

Addresses

Primary practice location

908 New Hampshire Ave NW Ste 200
Washington, DC 20037-2334

Mailing address

908 New Hampshire Ave NW Ste 200
Washington, DC 20037-2334
Phone (202) 833-5055

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210001481DCMDPsychiatry Physician
D0091159MDMDPsychiatry Physician
0101273955VAMDPsychiatry Physician
70338-20WIMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: membrey36921@direct.kennedykrieger.org

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1104351030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NEW HAMPSHIRE AVE NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372334",
            "telephone_number": "202-833-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 NEW HAMPSHIRE AVE NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372334",
            "telephone_number": "202-833-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBREY",
        "first_name": "MISTY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0091159",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101273955",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "70338",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "70338-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD210001481",
            "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 Mar 16, 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.