Active NPI
Jiby Bascal, NP
- Family Nurse Practitioner
- Rockville, MD
National Provider Identifier
1750948592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R167282
- Practice address
- 14703 Avery Rd
Rockville, MD 20853-3605 - Phone
- (301) 762-5613
- NPI assigned
- May 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R167282 | MD | Primary |
Addresses
Primary practice location
14703 Avery Rd
Rockville, MD 20853-3605
Mailing address
1912 Morningmist Dr
Silver Spring, MD 20906-1265
Phone (301) 890-6176
Other practice location 1
15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Phone (301) 595-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167282 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1750948592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 MORNINGMIST DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061265",
"telephone_number": "301-890-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14703 AVERY RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208533605",
"telephone_number": "301-762-5613"
}
],
"practiceLocations": [
{
"address_1": "15886 Gaither Dr Ste B",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208771404",
"country_code": "US",
"telephone_number": "301-595-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASCAL",
"first_name": "JIBY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R167282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.