Individual provider Active NPI

Nicole Cabell

  • Anesthesiologist Assistant
  • Washington, DC
National Provider Identifier
1114454618
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA000084 Issued in DC
Practice address
1150 Varnum St NE
Washington, DC 20017-2104
Phone
(202) 854-7000
NPI assigned
May 15, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X NU
Anesthesiologist Assistant 367H00000X AA000084 DC Primary

Addresses

Primary practice location

1150 Varnum St NE
Washington, DC 20017-2104

Mailing address

620 N Fayette St Apt 309
Alexandria, VA 22314-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731000891 DC Practitioner - Anesthesiology Assistant 2769753425 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Anesthesia Associates PLLCGroup PAC ID 5890739205, 86 clinicians

Practice addresses (Care Compare)

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 2, 2017 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Medical Faculty Associates, Inc CurrentSince Jun 1, 2018 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 1, 2018 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 1, 2018 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 2, 2017 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince May 1, 2023 Accepting new patients
Providence Health Services, Inc Anesthesiologist Assistant Past Accepting new patients
Trihealth H LLC PastSince Sep 1, 2025 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1114454618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N FAYETTE ST APT 309",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-854-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABELL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "DC",
            "license": "AA000084",
            "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 Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.