Individual provider Active NPI

Jennifer Katie Landrette, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1609193671
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN1016394 Issued in DC
Practice address
801 Pennsylvania Ave SE
Suite 201
Washington, DC 20003-2167
Phone
(202) 546-1512
Fax
(202) 544-5365
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R186255 MD
Registered Nurse 163W00000X RN1016394 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN1016394 DC Primary

Addresses

Primary practice location

801 Pennsylvania Ave SE
Suite 201
Washington, DC 20003-2167

Mailing address

801 Pennsylvania Ave SE
Suite 201
Washington, DC 20003-2167
Phone (202) 546-1512

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
I20160826001104 DC Practitioner - Nurse Practitioner 8426343682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Connections IncGroup PAC ID 7315930831, 6 clinicians

Practice addresses (Care Compare)

801 Pennsylvania Ave SE
Suite 201
Washington, DC 20003-2152
Phone (202) 683-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1016394DCMDRegistered Nurse
R186255MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Connections Inc CurrentSince Jun 20, 2016 Accepting new patients

Locations

801 Pennsylvania Ave SE
Ste 201
Washington, DC 20003
Phone (202) 281-3988

801 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-1512

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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1609193671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032167",
            "telephone_number": "202-546-1512",
            "fax_number": "202-544-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032167",
            "telephone_number": "202-546-1512",
            "fax_number": "202-544-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRETTE",
        "first_name": "JENNIFER",
        "middle_name": "KATIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R186255",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1016394",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1016394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.