Active NPI
Laura L Jennings, M.D.
- Neonatal-Perinatal Medicine Physician
- Washington, DC
National Provider Identifier
1255385035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 47737
- Practice address
- 3800 Reservoir Rd NW
3400 Main Building Dept of Neonatology
Washington, DC 20007-2113 - Phone
- (202) 444-8709
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 47737 | MD | Primary |
Addresses
Primary practice location
3800 Reservoir Rd NW
3400 Main Building Dept of Neonatology
Washington, DC 20007-2113
Mailing address
6222 Squires Hill Dr
Falls Church, VA 22044-2367
Phone (703) 532-9346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328100100 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47737 | MD | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1255385035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 SQUIRES HILL DR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442367",
"telephone_number": "703-532-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"address_2": "3400 MAIN BUILDING DEPT OF NEONATOLOGY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "LAURA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MD",
"license": "47737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328100100",
"state": "MD"
}
],
"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 Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.