Active NPI
Mark Bruce Lents, RN - STUDENT APRN
- Military Health Care Provider
- Bethesda, MD
National Provider Identifier
1922575927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 111276
- Practice address
- 4301 Jones Bridge Rd
Bethesda, MD 20814-4712 - Phone
- (240) 565-3808
- NPI assigned
- Oct 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 111276 | IA | Primary |
Addresses
Primary practice location
4301 Jones Bridge Rd
Bethesda, MD 20814-4712
Mailing address
3812 Wexford Dr
Kensington, MD 20895-1605
Phone (204) 565-3808
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111276 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540684800000",
"number": "1922575927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 WEXFORD DR",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208951605",
"telephone_number": "204-565-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 JONES BRIDGE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144712",
"telephone_number": "240-565-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTS",
"first_name": "MARK",
"middle_name": "BRUCE",
"credential": "RN - STUDENT APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-28",
"last_updated": "2018-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "IA",
"license": "111276",
"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 Oct 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.