Organization Active NPI

District Primary Care, LLC

  • Primary Care Clinic/Center
  • Washington, DC
National Provider Identifier
1124477096
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DISTRICT PRIMARY CARE, LLC
Practice address
700 Pennsylvania Ave SE FL 2
Washington, DC 20003-2493
Phone
(202) 446-1085
Fax
(202) 446-1086
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Dr. Wesley E Cook, DNP, APRNNPI 1215306659
Title
Medical Director
Phone
(202) 446-1085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

700 Pennsylvania Ave SE FL 2
Washington, DC 20003-2493

Mailing address

215 C St SE Apt 504
Washington, DC 20003-1947
Phone (202) 446-0185

Other identifiers 1

IdentifierTypeStateIssuer
096862600MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address district.primary.care.1@14056.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170222001639 DC Part B Supplier - Clinic/Group Practice 5597043950 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

700 Pennsylvania Ave SE
Fl 2
Washington, DC 20003
Phone (202) 446-1085

712 H St NE
Ste 1064
Washington, DC 20002
Phone (202) 446-1085

4250 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 828-6579

Interoperability endpoints

  • Direct secure messaging: district.primary.care.1@14056.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14056/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1124477096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 C ST SE APT 504",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031947",
            "telephone_number": "202-446-0185",
            "fax_number": "202-446-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PENNSYLVANIA AVE SE FL 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032493",
            "telephone_number": "202-446-1085",
            "fax_number": "202-446-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-446-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096862600",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "district.primary.care.1@14056.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 Pennsylvania Ave SE Fl 2",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200032493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.