Active NPI
Jennifer Waldron
- Registered Nurse
- Washington, DC
National Provider Identifier
1689180697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN45943
- Practice address
- 6323 Georgia Ave NW
Washington, DC 20011-1101 - Phone
- (202) 506-1209
- NPI assigned
- Dec 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN45943 | DC | Primary |
Addresses
Primary practice location
6323 Georgia Ave NW
Washington, DC 20011-1101
Mailing address
6323 Georgia Ave NW Ste 106
Washington, DC 20011-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2025351100 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN45943 | DC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1689180697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6323 GEORGIA AVE NW STE 106",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6323 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111101",
"telephone_number": "202-506-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN45943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2025351100",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.