Individual provider Active NPI

Deborah Ann Cleveland, RN, MS, FNP-BC

  • Family Nurse Practitioner
  • Chevy Chase, MD
National Provider Identifier
1124468582
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R189457 Issued in MD
Practice address
8401 Connecticut Ave Ste 201
Chevy Chase, MD 20815-5829
Phone
(301) 907-3960
Fax
(301) 652-4933
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337935 NY
Family Nurse Practitioner 363LF0000X 95004908 CA
Family Nurse Practitioner 363LF0000X RN1023748 DC
Family Nurse Practitioner 363LF0000X R189457 MD Primary

Addresses

Primary practice location

8401 Connecticut Ave Ste 201
Chevy Chase, MD 20815-5829

Mailing address

8401 Connecticut Ave Ste 201
Chevy Chase, MD 20815-5829
Phone (301) 907-3960

Other names 1

  • Deborah Ann Reagan Former name

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
I20201117003469 DC Practitioner - Nurse Practitioner 5597054171 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1023748DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 13, 2020 Accepting new patients
Pediatric Specialists of Virginia, LLC CurrentSince Jul 21, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jul 21, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 13, 2020 Accepting new patients
Inova Health Care Services CurrentSince Jul 21, 2023 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

8401 Connecticut Ave
Ste 201
Chevy Chase, MD 20815
Phone (301) 907-3960

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

3023 Hamaker Ct
Ste 300
Fairfax, VA 22031
Phone (703) 848-6627

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: dcleveland1172160@soc.inova.org

Organizations & group practices 6

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1124468582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 201",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155829",
            "telephone_number": "301-907-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 201",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155829",
            "telephone_number": "301-907-3960",
            "fax_number": "301-652-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "RN, MS, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337935",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1023748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R189457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "REAGAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.