Individual provider Active NPI

Jerene M Maune, NP-C

  • Adult Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1548440381
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN53635 Issued in DC
Practice address
700 12TH St NW
Suite 700
Washington, DC 20005-3945
Phone
(202) 909-6963
NPI assigned
Nov 9, 2007
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AC000557 MD
Adult Health Nurse Practitioner 363LA2200X 0024165964 VA
Adult Health Nurse Practitioner 363LA2200X RN53635 DC Primary

Addresses

Primary practice location

700 12TH St NW
Suite 700
Washington, DC 20005-3945

Mailing address

1122 Collingwood Rd
Alexandria, VA 22308-1726
Phone (202) 909-6963

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

State licenses

LicenseStateTypeSpecialty
RN53635DCMDAdult Health Nurse Practitioner
AC000557MDMDAdult Health Nurse Practitioner
0024165964VAMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1548440381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 COLLINGWOOD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223081726",
            "telephone_number": "202-909-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 12TH ST NW",
            "address_2": "SUITE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053945",
            "telephone_number": "202-909-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNE",
        "first_name": "JERENE",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "AC000557",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024165964",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN53635",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.