Katherine Gloria Meilleur, NURSE PRACTITIONER

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R171351 Issued in MD

Practice address

1 Cloister CT
Bethesda, MD 20814-1460

Phone

(301) 979-0105

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1730740879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLOISTER CT RM 253",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLOISTER CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141460",
            "telephone_number": "301-979-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEILLEUR",
        "first_name": "KATHERINE",
        "middle_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "R171351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0000",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "1 Cloister Ct",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208141460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deeba Mehran, DPT
• Aashima Mehta, M.P.T, D.P.T
• Ketan Mehta, DO
• Jian Ming Mei, MD
• Michael James Meier, MD, MPH
• Melissa Rachelle Meister, MD
• Salimata Latifah Meite
• Lia Isabell Mejia, LMSW
• Merry Mejia
• Ermias Aytenfisu Mekonnen, M.D.

• Pediatrics Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.