Active NPI
Rachel Grace Jones, CRNP
- Family Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1164825980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC004422
- Practice address
- 4701 Sangamore Rd Ste S207
Bethesda, MD 20816-2529 - Phone
- (202) 684-7167
- NPI assigned
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9352408 | FL | |
| Registered Nurse | 163W00000X | 663583 | NY | |
| Registered Nurse | 163W00000X | 201041626RN | OR | |
| Registered Nurse | 163W00000X | RN73237 | HI | |
| Registered Nurse | 163W00000X | RN148824 | AZ | |
| Registered Nurse | 163W00000X | RN1026736 | DC | |
| Registered Nurse | 163W00000X | 852018 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP1026736 | DC | |
| Family Nurse Practitioner | 363LF0000X | 0024183895 | VA | |
| Family Nurse Practitioner | 363LF0000X | AC004422 | MD | Primary |
Addresses
Primary practice location
4701 Sangamore Rd Ste S207
Bethesda, MD 20816-2529
Mailing address
4701 Sangamore Rd Ste S207
Bethesda, MD 20816-2529
Phone (202) 684-7167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F12210052 | Other | AANP |
Other names 1
- Rachel Grace Nichols
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN148824 | AZ | MD | Registered Nurse |
| 852018 | CA | MD | Registered Nurse |
| RN1026736 | DC | MD | Registered Nurse |
| RN9352408 | FL | MD | Registered Nurse |
| RN73237 | HI | MD | Registered Nurse |
| 663583 | NY | MD | Registered Nurse |
| 201041626RN | OR | MD | Registered Nurse |
| NP1026736 | DC | MD | Family Nurse Practitioner |
| AC004422 | MD | MD | Family Nurse Practitioner |
| 0024183895 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Goodman NP & Associates PC | Family | Current | Accepting new patients |
Locations
4701 Sangamore Rd
Ste S207
Bethesda, MD 20816
Phone (202) 684-7167
Interoperability endpoints
- rachel.jones.1@8769.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Primary Care Nurse Practitioner
- Bethesda, MD
- NPI 1740503689
DC, Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1164825980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 SANGAMORE RD STE S207",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162529",
"telephone_number": "202-684-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SANGAMORE RD STE S207",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162529",
"telephone_number": "202-684-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RACHEL",
"middle_name": "GRACE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9352408",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "663583",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201041626RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN73237",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN148824",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1026736",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "852018",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP1026736",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024183895",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC004422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "F12210052",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "NICHOLS",
"middle_name": "GRACE",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.