Mary Clare Wisthoff, L.AC., R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001096201 Issued in VA

Practice address

8830 Cameron CT
Suite 501
Silver Spring, MD 20910-4114

Phone

(301) 565-2700

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639201643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 1ST ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032645",
            "telephone_number": "703-528-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 CAMERON CT",
            "address_2": "SUITE 501",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104114",
            "telephone_number": "301-565-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISTHOFF",
        "first_name": "MARY",
        "middle_name": "CLARE",
        "credential": "L.AC., R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001096201",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.