Active NPI
Mary Gleason, MARY GLEASON, FNP-BC
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1992035174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1006509
- Practice address
- 5255 Loughboro Rd NW
Sibley Memorial Hospital - Pain Center
Washington, DC 20016-2633 - Phone
- (202) 537-4589
- NPI assigned
- Jan 11, 2010
- Last updated
- Jan 27, 2012
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC000760 | MD | |
| Family Nurse Practitioner | 363LF0000X | RN1006509 | DC | Primary |
| Registered Nurse | 163W00000X | RN1006509 | DC | |
| Registered Nurse | 163W00000X | 0001209828 | VA | |
| Oncology Registered Nurse | 163WX0200X | AC000760 | MD |
Addresses
Primary practice location
5255 Loughboro Rd NW
Sibley Memorial Hospital - Pain Center
Washington, DC 20016-2633
Mailing address
5255 Loughboro Rd NW
Sibley Memorial Hospital - Pain Center
Washington, DC 20016-2633
Phone (202) 537-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036182800 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001209828 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1992035174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"address_2": "SIBLEY MEMORIAL HOSPITAL - PAIN CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162633",
"telephone_number": "202-537-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"address_2": "SIBLEY MEMORIAL HOSPITAL - PAIN CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162633",
"telephone_number": "202-537-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "MARY",
"credential": "MARY GLEASON, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC000760",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1006509",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1006509",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001209828",
"primary": false
},
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "MD",
"license": "AC000760",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036182800",
"state": "MD"
}
],
"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 Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.