Active NPI
Monica Outlaw, R.N.
- Case Manager/Care Coordinator
- Rockville, MD
National Provider Identifier
1386955912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- R119781
- Practice address
- 5284 Randolph Rd
Suite 124
Rockville, MD 20852-2116 - Phone
- (240) 475-8343
- Fax
- (301) 890-3522
- NPI assigned
- Jun 29, 2010
- Last updated
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | RN62936 | DC | |
| Adult Companion | 372600000X | R119781 | MD | |
| Registered Nurse | 163W00000X | RN62936 | DC | |
| Registered Nurse | 163W00000X | R119781 | MD | |
| Administrator Registered Nurse | 163WA2000X | RN119781 | MD | |
| Case Management Registered Nurse | 163WC0400X | R119781 | MD | |
| Case Management Registered Nurse | 163WC0400X | RN62936 | DC | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | R119781 | MD | |
| Home Health Registered Nurse | 163WH0200X | R119781 | MD | |
| Community Health Worker | 172V00000X | RN62936 | DC | |
| Community Health Worker | 172V00000X | R119781 | MD | |
| Case Manager/Care Coordinator | 171M00000X | RN62936 | DC | |
| Case Manager/Care Coordinator | 171M00000X | R119781 | MD | Primary |
| Health Educator | 174H00000X | RN62936 | DC | |
| Health Educator | 174H00000X | R119781 | MD |
Addresses
Primary practice location
5284 Randolph Rd
Suite 124
Rockville, MD 20852-2116
Mailing address
5284 Randolph Rd
Suite 124
Rockville, MD 20852-2116
Phone (240) 475-8343
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN62936 | DC | MD | Registered Nurse |
| R119781 | MD | MD | Registered Nurse |
| RN119781 | MD | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1386955912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5284 RANDOLPH RD",
"address_2": "SUITE 124",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522116",
"telephone_number": "240-475-8343",
"fax_number": "301-890-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5284 RANDOLPH RD",
"address_2": "SUITE 124",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522116",
"telephone_number": "240-475-8343",
"fax_number": "301-890-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTLAW",
"first_name": "MONICA",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "DC",
"license": "RN62936",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "MD",
"license": "R119781",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN62936",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R119781",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MD",
"license": "RN119781",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MD",
"license": "R119781",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "DC",
"license": "RN62936",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "MD",
"license": "R119781",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MD",
"license": "R119781",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "DC",
"license": "RN62936",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MD",
"license": "R119781",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "DC",
"license": "RN62936",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MD",
"license": "R119781",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "DC",
"license": "RN62936",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MD",
"license": "R119781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.