Individual provider Active NPI

Anna Kokkalis Conrey, MSN, RN, CCRN, CRNP

  • Acute Care Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1689731895
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AC000533 Issued in MD
Practice address
National Institutes of Health
10 Center Drive, BLDG 10, Clinical Center - Room 5-5140
Bethesda, MD 20892-0001
Phone
(301) 451-6409
NPI assigned
Jan 3, 2007
Last updated
Dec 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AC000533 MD Primary

Addresses

Primary practice location

National Institutes of Health
10 Center Drive, BLDG 10, Clinical Center - Room 5-5140
Bethesda, MD 20892-0001

Mailing address

410 Kojun CT
Sterling, VA 20164-5533
Phone (732) 644-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000020 MD Order and Referring Only - Nurse Practitioner 7911150750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1689731895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 KOJUN CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645533",
            "telephone_number": "732-644-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH",
            "address_2": "10 CENTER DRIVE, BLDG 10, CLINICAL CENTER - ROOM 5-5140",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONREY",
        "first_name": "ANNA",
        "middle_name": "KOKKALIS",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, CCRN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "AC000533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.