Individual provider Active NPI

Jessica Landau, ARNP, FNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1730836057
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1054217 Issued in DC
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

Updated by the provider on Mar 7, 2022

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 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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220623000481 MD Practitioner - Nurse Practitioner 3476932336 Reassigns benefits to 1 organization
I20220815000757 DC Practitioner - Nurse Practitioner 3476932336 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1054217DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic, Inc. Family CurrentSince Oct 13, 2024 Accepting new patients
Vitality NP Group CurrentSince Jun 1, 2022 Accepting new patients
Community Clinic, Inc CurrentSince Oct 13, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.