Organization Active NPI

Patientwell Connect

  • Family Nurse Practitioner
  • Chevy Chase, MD
National Provider Identifier
1811715154
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PATIENTWELL CONNECT
Practice address
6800 Wisconsin Ave # 1023
Chevy Chase, MD 20815-6105
Phone
(301) 973-3257
Fax
(301) 220-6529
NPI assigned
Sep 26, 2024
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Mashkour Rub
Title
Credentialer
Phone
(301) 973-3257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6800 Wisconsin Ave # 1023
Chevy Chase, MD 20815-6105

Mailing address

6800 Wisconsin Ave # 1023
Chevy Chase, MD 20815-6105

National Provider Directory

National Provider Directory

Locations

6800 Wisconsin Ave
#1023
Chevy Chase, MD 20815
Phone (301) 973-3257

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1811715154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WISCONSIN AVE # 1023",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WISCONSIN AVE # 1023",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156105",
            "telephone_number": "301-973-3257",
            "fax_number": "301-220-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTWELL CONNECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "RUB",
        "authorized_official_first_name": "MASHKOUR",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "301-973-3257"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Apr 23, 2025; 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.