Jane Elaine Jacknewitz-Woolard, RN, DNP, CS, P/FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R086221 Issued in MD

Practice address

8901 Wisconsin Ave
Bethesda, MD 20889-0004

Phone

(301) 295-8720

Fax

(013) 192-4203

NPI assigned

Jun 14, 2006

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1568405819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13517 COACHLAMP LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065836",
            "telephone_number": "301-460-5578",
            "fax_number": "202-782-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-295-8720",
            "fax_number": "013-192-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKNEWITZ-WOOLARD",
        "first_name": "JANE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "RN, DNP, CS, P/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R086221",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R086221",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R086221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Albert Ivey, M.D.
• Anita Iyer, M.D.
• Shruti Iyer, DO
• Arthur Dean Jabs Jr., M.D, PH.D
• Benjamin Jack, DO
• Ebony Jackson Clark, PT, DPT
• Jennifer Ekundayo Jackson-Bickersteth, LPN
• Anita Estell Jackson
• Antoine Jackson, MSW
• Ashley Jackson, DMD

• Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.