Individual provider Active NPI

John Donald McCarthy, RN NP

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1558486795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN64449 Issued in DC
Practice address
1717 Columbia Rd NW
Washington, DC 20009-2803
Phone
(202) 328-1100
Fax
(202) 232-4972
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN64449 DC Primary

Addresses

Primary practice location

1717 Columbia Rd NW
Washington, DC 20009-2803

Mailing address

1660 Columbia Road NW
Washington, DC 20009-3697
Phone (202) 328-3717

Other identifiers 1

IdentifierTypeStateIssuer
22524700MedicaidDC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000574 DC Practitioner - Nurse Practitioner 8921022278 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince May 19, 2011 Accepting new patients
Unity Health Care Inc. CurrentSince May 19, 2011 Accepting new patients

Locations

1717 Columbia Rd NW
Washington, DC 20009
Phone (202) 328-1100

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

1660 Columbia Rd NW
Washington, DC 20009
Phone (202) 328-3717

Organizations & group practices 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558486795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 COLUMBIA ROAD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093697",
            "telephone_number": "202-328-3717",
            "fax_number": "202-588-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 COLUMBIA RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092803",
            "telephone_number": "202-328-1100",
            "fax_number": "202-232-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JOHN",
        "middle_name": "DONALD",
        "credential": "RN NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN64449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22524700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.