Active NPI
Monet C Ince-Amara, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1801449186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024177644
- Practice address
- 4701 Sangamore Rd Ste N100
Bethesda, MD 20816-2558 - Phone
- (800) 682-3548
- Fax
- (240) 224-8327
- NPI assigned
- Jul 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ACOO2751 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024177644 | VA | Primary |
Addresses
Primary practice location
4701 Sangamore Rd Ste N100
Bethesda, MD 20816-2558
Mailing address
4701 Sangamore Rd Ste N100
Bethesda, MD 20816-2558
Phone (240) 630-5767
Other practice location 1
44679 Endicott Dr Ste 300
Ashburn, VA 20147-5567
Phone (240) 630-5767
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACOO2751 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024177644 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1801449186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 SANGAMORE RD STE N100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162558",
"telephone_number": "240-630-5767",
"fax_number": "240-380-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SANGAMORE RD STE N100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162558",
"telephone_number": "800-682-3548",
"fax_number": "240-224-8327"
}
],
"practiceLocations": [
{
"address_1": "44679 Endicott Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "201475567",
"country_code": "US",
"telephone_number": "240-630-5767",
"fax_number": "240-380-2301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INCE-AMARA",
"first_name": "MONET",
"middle_name": "C",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "ACOO2751",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024177644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.