Active NPI
Jane Kutsushi, NP
- Psychiatric/Mental Health Nurse Practitioner
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1006184
- Practice address
- 2 Post Office Rd Unit 4A9497
Waldorf, MD 20602-2726 - Phone
- (202) 489-6118
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN1006184 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1006184 | DC | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN1006184 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R166622 | MD | |
| Emergency Registered Nurse | 163WE0003X | RN1006184 | DC | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN1006184 | DC | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | NP1006184 | DC |
Addresses
Primary practice location
2 Post Office Rd Unit 4A9497
Waldorf, MD 20602-2726
Mailing address
9497 Pep Rally LN
Waldorf, MD 20603-3898
Phone (202) 489-6118
Other practice location 1
1221 Gallatin St NW
Washington, DC 20011-6915
Phone (202) 489-6118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1006184 | DC | MD | Critical Care Medicine Registered Nurse |
| NP1006184 | DC | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking Silos in Medicine LLC | Current | Accepting new patients | |
| District Healthcare Services, LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
2478 Alabama Ave SE
Washington, DC 20020
Phone (202) 816-9448
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Waldorf, MD
- NPI 1497587828
DC
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1720831142
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
DC, Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1366939225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1710433693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9497 PEP RALLY LN",
"city": "WALDORF",
"state": "MD",
"postal_code": "206033898",
"telephone_number": "202-489-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 POST OFFICE RD UNIT 4A9497",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022726",
"telephone_number": "202-489-6118"
}
],
"practiceLocations": [
{
"address_1": "1221 Gallatin St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200116915",
"country_code": "US",
"telephone_number": "202-489-6118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUTSUSHI",
"first_name": "JANE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "DC",
"license": "RN1006184",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1006184",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "DC",
"license": "RN1006184",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R166622",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "DC",
"license": "RN1006184",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "DC",
"license": "RN1006184",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1006184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.