Active NPI
Kristen Jennifer Ahearn, DNP
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1972269504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP1041409
- Practice address
- 2150 Pennsylvania Ave NW Ste 6a-425
Washington, DC 20037-3201 - Phone
- (202) 677-6834
- NPI assigned
- Nov 9, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP1041409 | DC | Primary |
Addresses
Primary practice location
2150 Pennsylvania Ave NW Ste 6a-425
Washington, DC 20037-3201
Mailing address
6206 Loch Raven Dr
MC Lean, VA 22101-3133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211221000111 | DC | Practitioner - Nurse Practitioner | 2466843727 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current | Accepting new patients |
Locations
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
2150 Pennsylvania Ave NW
Ste 6A425
Washington, DC 20037
Phone (202) 677-6834
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
Interoperability endpoints
- kahearn35812@gwmfa.direct-ci.com
Organizations & group practices 1
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": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1972269504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 LOCH RAVEN DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW STE 6A-425",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-677-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHEARN",
"first_name": "KRISTEN",
"middle_name": "JENNIFER",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP1041409",
"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 9, 2021; 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.