NPIMap

Organization Active NPI

Walter Reed National Military Medical Center

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1598616302
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WALTER REED NATIONAL MILITARY MEDICAL CENTER
Practice address
4954 N Palmer Rd
BLDG 19, 3Rd Floor
Bethesda, MD 20889-5630
Phone
(301) 319-2900
NPI assigned
Feb 6, 2026
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Jeffrey L Fennewald
Title
Department Chief, Msso
Phone
(301) 295-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

4954 N Palmer Rd
BLDG 19, 3Rd Floor
Bethesda, MD 20889-5630

Mailing address

4954 N Palmer Rd
Bethesda, MD 20889-5630
Phone (301) 319-2900

National Provider Directory

National Provider Directory

Locations

4954 N Palmer Rd
Bethesda, MD 20889
Phone (301) 295-4512

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1598616302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-319-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD",
            "address_2": "BLDG 19, 3RD FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-319-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "FENNEWALD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DEPARTMENT CHIEF, MSSO",
        "authorized_official_telephone_number": "301-295-2737"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.