Individual provider Active NPI

Sandra Kay Johnson, FNP-BC

  • Family Nurse Practitioner
  • Fort Washington, MD
National Provider Identifier
1700443199
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN123217 Issued in MD
Practice address
13332 Lenfant Dr
Fort Washington, MD 20744-6500
Phone
(301) 643-5531
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN123217 MD Primary

Addresses

Primary practice location

13332 Lenfant Dr
Fort Washington, MD 20744-6500

Mailing address

13332 Lenfant Dr
Fort Washington, MD 20744-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200115002666 DC Practitioner - Nurse Practitioner 9335574599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Helene a. Emsellem, MD, PCGroup PAC ID 4688681471, 3 clinicians

Practice addresses (Care Compare)

5454 Wisconsin Ave
Suite 1335
Chevy Chase, MD 20815-6955
Phone (301) 654-1575

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN123217MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riad Dakheel, M.D., P.a. CurrentSince Oct 6, 2025 Accepting new patients
Riad Dakheel, M.D., P.a. Past Accepting new patients

Locations

4000 Mitchellville Rd
Ste B218
Bowie, MD 20716
Phone (301) 262-0020

5454 Wisconsin Ave
Ste 1725
Chevy Chase, MD 20815
Phone (301) 509-0960

5454 Wisconsin Ave
Ste 1335
Chevy Chase, MD 20815
Phone (301) 654-0209

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1700443199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13332 LENFANT DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13332 LENFANT DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446500",
            "telephone_number": "301-643-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "RN123217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.