NPIMap

Organization Active NPI

US Army Walter Reed Army Med Ctr

  • Military General Acute Care Hospital
  • Chevy Chase, MD
National Provider Identifier
1770554107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
License
2865M2000X Issued in TX
Legal business name
US ARMY WALTER REED ARMY MED CTR
Practice address
4601 N Park Ave
#1009
Chevy Chase, MD 20815-4519
Phone
(301) 656-1560
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jill Elizabeth Fowler, RD
Title
Clinical Dietitian
Phone
(210) 274-9969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X 2865M2000X TX Primary

Addresses

Primary practice location

4601 N Park Ave
#1009
Chevy Chase, MD 20815-4519

Mailing address

6900 Georgia Ave NW
Washington, DC 20307-0003
Phone (202) 782-9511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770554107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070003",
            "telephone_number": "202-782-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N PARK AVE",
            "address_2": "#1009",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154519",
            "telephone_number": "301-656-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY WALTER REED ARMY MED CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "210-274-9969",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "TX",
            "license": "2865M2000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.