Active NPI
Claire Katherine Conklin, APRN
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1030319
- Practice address
- 3800 Reservoir Rd NW Dept OBGYN
Washington, DC 20007-2113 - Phone
- (862) 219-0214
- NPI assigned
- Sep 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN1030319 | DC | Primary |
| Family Nurse Practitioner | 363LF0000X | 24735 | TN |
Addresses
Primary practice location
3800 Reservoir Rd NW Dept OBGYN
Washington, DC 20007-2113
Mailing address
2255 Wisconsin Ave NW
Washington, DC 20007-4155
Phone (862) 219-0214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111
57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24735 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Nantucket Physicians Organization | Current | Accepting new patients | |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1568798510
-
- General Practice Physician
- Brandywine, MD
- NPI 1285064550
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1790268753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200074155",
"telephone_number": "862-219-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW DEPT OBGYN",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "862-219-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "CLAIRE",
"middle_name": "KATHERINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1030319",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24735",
"primary": false
}
],
"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 Apr 22, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.