Active NPI
Kathleen Frances McCue, DNP, CRNP, IBCLC
- Family Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1932197738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R152250
- Practice address
- 4927 Auburn Ave Ste 100
Bethesda, MD 20814-2641 - Phone
- (301) 943-9293
- Fax
- (240) 235-8327
- NPI assigned
- Oct 6, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R152250 | MD | Primary |
Addresses
Primary practice location
4927 Auburn Ave Ste 100
Bethesda, MD 20814-2641
Mailing address
4927 Auburn Ave Ste 100
Bethesda, MD 20814-2641
Phone (301) 943-9293
Other practice location 1
8401 Connecticut Ave
Suite 201
Chevy Chase, MD 20815-5803
Phone (301) 907-3960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160107002469 | MD | Order and Referring Only - Nurse Practitioner | 5698077683 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R152250 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Breastfeeding, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4927 Auburn Ave
Ste 100
Bethesda, MD 20814
Phone (202) 223-1060
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Bethesda, MD
- NPI 1740621754
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1932197738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4927 AUBURN AVE STE 100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142641",
"telephone_number": "301-943-9293",
"fax_number": "240-235-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4927 AUBURN AVE STE 100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142641",
"telephone_number": "301-943-9293",
"fax_number": "240-235-8327"
}
],
"practiceLocations": [
{
"address_1": "8401 Connecticut Ave",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208155803",
"country_code": "US",
"telephone_number": "301-907-3960",
"fax_number": "301-652-4933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCUE",
"first_name": "KATHLEEN",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "DNP, CRNP, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R152250",
"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 Dec 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.