Active NPI
Anne Marie Brannock, RN
- Nurse Practitioner
- Kensington, MD
National Provider Identifier
1376679290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R096840
- Practice address
- 10500 Summit Avenue
Kensington, MD 20895 - Phone
- (301) 897-2500
- Fax
- (301) 897-2333
- NPI assigned
- Feb 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN52647 | DC | |
| Nurse Practitioner | 363L00000X | R096840 | MD | Primary |
Addresses
Primary practice location
10500 Summit Avenue
Kensington, MD 20895
Mailing address
2101 East Jefferson Street
Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks
Rockville, MD 20852
Phone (301) 816-6660
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250523002367 | DC | Practitioner - Nurse Practitioner | 6800315672 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
12201 Plum Orchard Dr
Silver Spring, MD 20904-7803
Phone (301) 572-1000
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN52647 | DC | MD | Nurse Practitioner |
Organizations & group practices 17
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.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Baltimore, MD
- NPI 1033578364
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
- Ambulatory Surgical Clinic/Center
- Largo, MD
- NPI 1366781700
-
- Ambulatory Surgical Clinic/Center
- Timonium, MD
- NPI 1457023616
-
- Ambulatory Surgical Clinic/Center
- Gaithersburg, MD
- NPI 1497023188
-
- Ambulatory Surgical Clinic/Center
- Kensington, MD
- NPI 1578638425
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Largo, MD
- NPI 1588903991
-
- Clinical Medical Laboratory
- Rockville, MD
- NPI 1699897629
-
- Ambulatory Surgical Clinic/Center
- Halethorpe, MD
- NPI 1942546486
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Ambulatory Surgical Clinic/Center
- MC Lean, VA
- NPI 1073678637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1376679290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EAST JEFFERSON STREET",
"address_2": "KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-816-6660",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 SUMMIT AVENUE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "20895",
"telephone_number": "301-897-2500",
"fax_number": "301-897-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNOCK",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN52647",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R096840",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10500 Summit Avenue",
"city": "Kensington",
"state": "MD",
"country_code": "US",
"postal_code": "20895",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.