Individual provider Active NPI

Rachel Grace Jones, CRNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1164825980
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC004422 Issued in MD
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

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F12210052OtherAANP

Other names 1

  • Rachel Grace Nichols 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
I20221003001342 DC Practitioner - Nurse Practitioner 1850777681 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN148824AZMDRegistered Nurse
852018CAMDRegistered Nurse
RN1026736DCMDRegistered Nurse
RN9352408FLMDRegistered Nurse
RN73237HIMDRegistered Nurse
663583NYMDRegistered Nurse
201041626RNORMDRegistered Nurse
NP1026736DCMDFamily Nurse Practitioner
AC004422MDMDFamily Nurse Practitioner
0024183895VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Goodman NP & Associates PC Family CurrentSince Jun 14, 2025 Accepting new patients

Locations

4701 Sangamore Rd
Ste S207
Bethesda, MD 20816
Phone (202) 684-7167

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.