Individual provider Active NPI

Nancy Elizabeth Brutsche

  • Adult Psychiatric/Mental Health Registered Nurse
  • Silver Spring, MD
National Provider Identifier
1619487667
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R096616 Issued in MD
Practice address
8555 16TH St Ste 202
Silver Spring, MD 20910-2802
Phone
(301) 793-8715
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R096616 MD Primary

Addresses

Primary practice location

8555 16TH St Ste 202
Silver Spring, MD 20910-2802

Mailing address

3512 Falling Green Rd
Olney, MD 20832-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 9, 2025 through Feb 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R096616MDMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1619487667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 FALLING GREEN RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102802",
            "telephone_number": "301-793-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTSCHE",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R096616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.