Individual provider Active NPI

Jessica Lynn Fishburn, FNP

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1346846672
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R245850 Issued in MD
Practice address
9520 Georgia Ave
Silver Spring, MD 20910-1436
Phone
(301) 585-3136
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1058997 DC
Family Nurse Practitioner 363LF0000X R245850 MD Primary

Addresses

Primary practice location

9520 Georgia Ave
Silver Spring, MD 20910-1436

Mailing address

9520 Georgia Ave
Silver Spring, MD 20910-1436
Phone (301) 585-3136

Other practice location 1

900 23rd St NW
Washington, DC 20037-2342
Phone (202) 741-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210223000167 DC Practitioner - Nurse Practitioner 0345655478 Reassigns benefits to 3 organizations
I20210329001493 MD Practitioner - Nurse Practitioner 0345655478 Reassigns benefits to 1 organization
I20240924000070 VA Practitioner - Nurse Practitioner 0345655478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1058997DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince Feb 1, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
True North Health Navigation LLC CurrentSince Feb 1, 2023 Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

2120 L St NW
Ste 450
Washington, DC 20037
Phone (202) 741-2904

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

1951 Kidwell Dr
Ste 101
Vienna, VA 22182
Phone (571) 348-4721

Organizations & group practices 8

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1346846672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101436",
            "telephone_number": "301-585-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101436",
            "telephone_number": "301-585-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372342",
            "country_code": "US",
            "telephone_number": "202-741-2911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHBURN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-02-27",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1058997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R245850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.