Active NPI
DC Care PLLC
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1689329435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- DC CARE PLLC
- Practice address
- 4822 41St St NW
Washington, DC 20016-1708 - Phone
- (202) 568-6579
- NPI assigned
- Feb 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Edward Jackson, FNP
- Title
- Owner/Family Nurse Practitioner
- Phone
- (202) 568-6579
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4822 41St St NW
Washington, DC 20016-1708
Mailing address
4822 41St St NW
Washington, DC 20016-1708
Phone (910) 384-5664
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.dccarepllc.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fairfax, VA
- NPI 1871995803
-
- Family Nurse Practitioner
- Laurinburg, NC
- NPI 1306214820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1689329435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 41ST ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200161708",
"telephone_number": "910-384-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 41ST ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200161708",
"telephone_number": "202-568-6579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DC CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "202-568-6579",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.dccarepllc.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct service and communication",
"address_1": "4822 41st St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200161708",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.