Individual provider Active NPI

Kathleen Frances McCue, DNP, CRNP, IBCLC

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1932197738
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R152250 Issued in MD
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

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002469 MD Order and Referring Only - Nurse Practitioner 5698077683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R152250MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Breastfeeding, LLC CurrentSince Jan 14, 2024 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.

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

Verify at the official NPI Registry.