Emily G Bertrand, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN1017347 Issued in DC

Practice address

5215 Loughboro Rd NW Ste 140
Washington, DC 20016-2622

Phone

(202) 244-4550

Fax

(202) 244-3198

NPI assigned

Aug 4, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Emily G Russell Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Marymount University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin and Reddick Dermatology PLLCGroup PAC ID 8921331919, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00023

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.

• Austin & Reddick Dermatology, PLLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1851864854
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194279315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 140",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162622",
            "telephone_number": "202-244-4550",
            "fax_number": "202-244-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW STE 140",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162622",
            "telephone_number": "202-244-4550",
            "fax_number": "202-244-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Rockledge Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171809",
            "country_code": "US",
            "telephone_number": "301-530-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "EMILY",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "770759",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1017347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RUSSELL",
            "middle_name": "G",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josepha Lesly Berrys
• Susan J Bersoff-Matcha, MD
• Maria Elisabeth Bertagnolli, FNP
• Jeanne Bertoli, PHD
• Njinuwoh Bertrand Tasojah
• Tsehay Beru
• Aileen Berul, PA-C
• Charles Berul, MD
• Marilyn Berzin, M.D.
• John Harlo Beschenbossel, DDS

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.