Active NPI
Icare Healthcare Services
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ICARE HEALTHCARE SERVICES
- Practice address
- 4645 Nannie Helen Burroughs Ave NE Ste 107
Washington, DC 20019-3622 - Phone
- (240) 466-2855
- NPI assigned
- Nov 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth Williams, NP
- Title
- Owner
- Phone
- (240) 466-2855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4645 Nannie Helen Burroughs Ave NE Ste 107
Washington, DC 20019-3622
Mailing address
4645 Nannie Helen Burroughs Ave NE Ste 107
Washington, DC 20019-3622
Phone (240) 466-2855
Other practice location 1
10301 Georgia Ave Ste 209
Silver Spring, MD 20902-5020
Phone (240) 466-2855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Icare Healthcare Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Integrative Medicine Physician
- Washington, DC
- NPI 1013709039
Locations
4645 Nannie Helen Burroughs Ave NE
Ste 107
Washington, DC 20019
Phone (240) 466-2855
7600 Georgia Ave NW
Ste 207
Washington, DC 20012
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1740998327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 NANNIE HELEN BURROUGHS AVE NE STE 107",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193622",
"telephone_number": "240-466-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 NANNIE HELEN BURROUGHS AVE NE STE 107",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193622",
"telephone_number": "240-466-2855"
}
],
"practiceLocations": [
{
"address_1": "10301 Georgia Ave Ste 209",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209025020",
"country_code": "US",
"telephone_number": "240-466-2855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ICARE HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2024-10-30",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-466-2855",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.