Active NPI
Jacqueline Connelly, RN
- Oncology Registered Nurse
- Bethesda, MD
National Provider Identifier
1336057769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Registered Nurse
- License
- R227810
- Practice address
- 10 Center Dr
Bethesda, MD 20892-0004 - Phone
- (301) 496-1211
- NPI assigned
- Aug 28, 2026
- 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 |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | R227810 | MD | Primary |
Addresses
Primary practice location
10 Center Dr
Bethesda, MD 20892-0004
Mailing address
8728 Hidden Pool CT
Laurel, MD 20723-2045
Phone (302) 383-6703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1336057769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8728 HIDDEN POOL CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207232045",
"telephone_number": "302-383-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920004",
"telephone_number": "301-496-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "JACQUELINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "MD",
"license": "R227810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.