Individual provider Active NPI

Meghan McGowan Dwyer Doody, CRNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1598015091
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R200417 Issued in MD
Practice address
8901 Wisconsin Ave
Building 17, 2ND Floor, Suite 2a
Bethesda, MD 20889-0004
Phone
(301) 400-1111
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1016551 DC
Family Nurse Practitioner 363LF0000X R200417 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave
Building 17, 2ND Floor, Suite 2a
Bethesda, MD 20889-0004

Mailing address

8901 Wisconsin Ave
Building 17, 2ND Floor, Suite 2a
Bethesda, MD 20889-0004
Phone (301) 400-1111

Other names 1

  • Meghan McGowan Dwyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260407001634 MD Practitioner - Nurse Practitioner 5193942241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101

4240 Laurel Canyon Blvd
Unit 103
Studio City, CA 91604-2049

8901 Falls Chapel Way
Potomac, MD 20854-2386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN1016551DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kinstead Provider Group, P.a. Family Current Accepting new patients

Locations

400 E Pratt St
Fl 8
Baltimore, MD 21202
Phone (410) 505-0521

Organizations & group practices 1

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1598015091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "BUILDING 17, 2ND FLOOR, SUITE 2A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-400-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "BUILDING 17, 2ND FLOOR, SUITE 2A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-400-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOODY",
        "first_name": "MEGHAN",
        "middle_name": "MCGOWAN DWYER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1016551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "DWYER",
            "middle_name": "MCGOWAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.