Individual provider Active NPI

Jannie Lee Doh-Lao, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Takoma Park, MD
National Provider Identifier
1134554769
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R175350 Issued in MD
Practice address
7600 Carroll Ave
Takoma Park, MD 20912-6367
Phone
(301) 891-7600
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R175350 MD Primary

Addresses

Primary practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Mailing address

412 W Redwood St
Baltimore, MD 21201-1738
Phone (347) 791-9157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140319000623 DC Practitioner - Nurse Practitioner 0143451013 Reassigns benefits to 1 organization
I20171010003417 MD Practitioner - Nurse Practitioner 0143451013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Changing Lives Adult and Youth ServicesGroup PAC ID 5395082812, 8 clinicians

Practice addresses (Care Compare)

4810 Saint Barnabas Rd
Suite 203
Temple Hills, MD 20748-4604
Phone (301) 541-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R175350MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Lives Adult & Youth Services CurrentSince Mar 4, 2024 Accepting new patients
Safe Harbor Community Services Psychiatric/Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Changing Lives Adult & Youth Services PastSince Sep 15, 2019 Accepting new patients

Locations

2227 Old Emmorton Rd
Ste 115
Bel Air, MD 21015
Phone (410) 589-0999

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

9015 Woodyard Rd
Ste 109
Clinton, MD 20735
Phone (240) 244-2924

4810 Saint Barnabas Rd
Ste 203
Temple Hills, MD 20748
Phone (301) 541-0963

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1134554769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W REDWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011738",
            "telephone_number": "347-791-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CARROLL AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126367",
            "telephone_number": "301-891-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOH-LAO",
        "first_name": "JANNIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R175350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.