Active NPI
Jessica Landau, ARNP, FNP
- Family Nurse Practitioner
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1054217
- Practice address
- 408 Hendrix Ave
Gaithersburg, MD 20878-4592 - Phone
- (386) 290-7047
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN1054217 | DC | Primary |
Addresses
Primary practice location
408 Hendrix Ave
Gaithersburg, MD 20878-4592
Mailing address
408 Hendrix Ave
Gaithersburg, MD 20878-4592
Phone (386) 290-7047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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 |
|---|---|---|---|
| RN1054217 | DC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinic, Inc. | Family | Current | Accepting new patients |
| Vitality NP Group | Current | Accepting new patients | |
| Community Clinic, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
220 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880
7474 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (240) 624-2278
8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525
8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250
7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972
685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855
Interoperability endpoints
- jessica.landau.p1@direct.mcg-hhs.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Takoma Park, MD
- NPI 1790730281
DC, Family
-
- Community/Retail Pharmacy
- Greenbelt, MD
- NPI 1295560878
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1730836057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HENDRIX AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784592",
"telephone_number": "386-290-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 HENDRIX AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784592",
"telephone_number": "386-290-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDAU",
"first_name": "JESSICA",
"credential": "ARNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1054217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.