Active NPI
Jonathan Scott Kerr, DO
- Psychiatry Physician
- Bethesda, MD
National Provider Identifier
1689731226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102202138
- Practice address
- 4494 Palmer Rd N, Bethesda
Bethesda, MD 20814 - Phone
- (814) 771-4572
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0102202138 | VA | Primary |
Addresses
Primary practice location
4494 Palmer Rd N, Bethesda
Bethesda, MD 20814
Mailing address
4494 Palmer Rd N, Bethesda
Bethesda, MD 20814
Phone (814) 771-4572
Other practice location 1
9300 DeWitt Loop
Fort Belvoir, VA 22060
Phone (814) 715-6376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1258319270 | Other | DOD ID |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102202138 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1689731226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 PALMER RD N, BETHESDA",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "814-771-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 PALMER RD N, BETHESDA",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "814-771-4572"
}
],
"practiceLocations": [
{
"address_1": "9300 DeWitt Loop",
"address_purpose": "LOCATION",
"city": "Fort Belvoir",
"state": "VA",
"postal_code": "22060",
"country_code": "US",
"telephone_number": "814-715-6376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERR",
"first_name": "JONATHAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2024-06-17",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102202138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOD ID",
"identifier": "1258319270",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.