Active NPI
Brennan Frazier Jacobs
- Women's Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP1048396
- Practice address
- 2333 Ontario Rd NW
Washington, DC 20009-2627 - Phone
- (202) 483-8196
- NPI assigned
- Aug 6, 2024
- Last updated
- Nov 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP1048396 | DC | Primary |
Addresses
Primary practice location
2333 Ontario Rd NW
Washington, DC 20009-2627
Mailing address
1324 Euclid St NW Apt 101
Washington, DC 20009-4834
Phone (615) 430-6558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (202) 483-8196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary's Center for Maternal and Child Care, Inc | Current | Accepting new patients | |
| Marys Center for Maternal and Child Care Inc | Current | Accepting new patients | |
| Mary's Center for Maternal and Child Care, Inc | Current | Accepting new patients |
Locations
2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175
3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797
6315 5th St NW
Washington, DC 20011
Phone (202) 671-6080
100 Gallatin St NE
Washington, DC 20011
Phone (202) 545-0515
8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 408-6860
344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300
Interoperability endpoints
- brennan.jacobs@maryscenter.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1962520288
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1992164966
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1831635986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1871323667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 EUCLID ST NW APT 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200094834",
"telephone_number": "615-430-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 ONTARIO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092627",
"telephone_number": "202-483-8196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "BRENNAN",
"middle_name": "FRAZIER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "DC",
"license": "NP1048396",
"primary": true
}
],
"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 Nov 22, 2024; 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.