Individual provider Active NPI

Elizabeth Louise Echols, NP-C

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1164023701
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199986 Issued in MD
Practice address
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone
(202) 537-4000
NPI assigned
Nov 2, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X R199986 MD
Ambulatory Care Registered Nurse 163WP2201X RN1038304 DC
Family Nurse Practitioner 363LF0000X R199986 MD Primary

Addresses

Primary practice location

5255 Loughboro Rd NW
Washington, DC 20016-2633

Mailing address

6702 Prince Georges Ave
Takoma Park, MD 20912-4808
Phone (301) 917-5912

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
I20210329001769 DC Practitioner - Nurse Practitioner 2668889114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic, IncGroup PAC ID 6204722614, 33 clinicians

Practice addresses (Care Compare)

7676 New Hampshire Ave
Suite 220a
Takoma Park, MD 20912-7514
Phone (301) 431-2972

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199986MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic, Inc CurrentSince Mar 18, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Mar 15, 2021 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Mar 15, 2021 Accepting new patients
Community Clinic, Inc. Family CurrentSince Mar 18, 2024 Accepting new patients

Locations

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

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

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

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1164023701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 PRINCE GEORGES AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124808",
            "telephone_number": "301-917-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162633",
            "telephone_number": "202-537-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MD",
            "license": "R199986",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "DC",
            "license": "RN1038304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.