Kevin John O'Brien, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R115472 Issued in MD

Practice address

National Institutes of Health 10 Center Drive
BLDG. 10 CRC RM 3-2551
Bethesda, MD 28092-1205

Phone

(301) 435-2824

Fax

(301) 496-7157

NPI assigned

Apr 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1962644211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH 10 CENTER DRIVE",
            "address_2": "BLDG. 10 CRC RM 3-2551",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "280921205",
            "telephone_number": "301-435-2824",
            "fax_number": "301-496-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH 10 CENTER DRIVE",
            "address_2": "BLDG. 10 CRC RM 3-2551",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "280921205",
            "telephone_number": "301-435-2824",
            "fax_number": "301-496-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R115472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT NP CERTIFICATION NUMBER",
            "identifier": "0320208",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "R115472",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• O & O Alpan, LLC
• Paul O Brien, MD
• Christina Clancy O'Brien, PSY.D.
• Joseph Raymond O'Brien, M.D.
• Kelly O'Brien, PH.D.
• Elise O'Connell, MD
• Amy O'Connor, LCSW
• Aparna Gupta O'Connor, LCSW-C
• Nicole O'Connor
• Mary Teresa Maloney O'Donnell, M.D.

• Adult Health Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.

Verify at the official NPI Registry.