Individual provider Active NPI

Jennifer Le

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1174339345
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1058018 Issued in DC
Practice address
2240 M St NW Ward 2
Washington, DC 20037-1415
Phone
(202) 296-9876
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024191915 VA
Family Nurse Practitioner 363LF0000X NP1058018 DC Primary

Addresses

Primary practice location

2240 M St NW Ward 2
Washington, DC 20037-1415

Mailing address

2240 M St NW
Washington, DC 20037-1415

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
I20250217000246 DC Practitioner - Nurse Practitioner 9537699889 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024191915VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Family CurrentSince Jan 31, 2025 Accepting new patients
Minuteclinic Primary Care DC PLLC Family CurrentSince Jul 16, 2025 Accepting new patients

Locations

2240 M St NW
#2
Washington, DC 20037
Phone (202) 296-9876

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

2240 M St NW
Washington, DC 20037
Phone (202) 296-9876

Organizations & group practices 2

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1174339345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 M ST NW WARD 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371415",
            "telephone_number": "202-296-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191915",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1058018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.