Individual provider Active NPI

Mariam Didden Kashani, CRNP

  • Adult Health Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1245314871
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN66266 Issued in DC
Practice address
9921 Brixton LN
Bethesda, MD 20817-1525
Phone
(301) 469-6352
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180113 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R137718 MD
Adult Health Nurse Practitioner 363LA2200X RN66266 DC Primary

Addresses

Primary practice location

9921 Brixton LN
Bethesda, MD 20817-1525

Mailing address

9921 Brixton LN
Bethesda, MD 20817-1525
Phone (301) 469-6352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN66266DCMDAdult Health Nurse Practitioner
0024180113VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Mental Health PastSince Aug 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mariam.kashani.1@24224.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24224/brand/1/csg/1/fhir/r4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1245314871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 BRIXTON LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171525",
            "telephone_number": "301-469-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 BRIXTON LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171525",
            "telephone_number": "301-469-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHANI",
        "first_name": "MARIAM",
        "middle_name": "DIDDEN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180113",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R137718",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN66266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.