Active NPI
Connie Sylean Jolly
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1205675584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2501 Marion Barry Ave SE
Washington, DC 20020-3011 - Phone
- (202) 866-7505
- NPI assigned
- May 24, 2024
- Last updated
- May 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
2501 Marion Barry Ave SE
Washington, DC 20020-3011
Mailing address
12121 Tulip Grove Drive
Bowie, MD 20715-1234
Phone (202) 738-6203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Care DC Inc | Current | Accepting new patients |
Locations
2501 Marion Barry Ave SE
Washington, DC 20020
Phone (202) 866-7505
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, 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": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1205675584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 TULIP GROVE DRIVE",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151234",
"telephone_number": "202-738-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 MARION BARRY AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203011",
"telephone_number": "202-866-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "CONNIE",
"middle_name": "SYLEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.