Washington Area Nurse Practitioner Group, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WASHINGTON AREA NURSE PRACTITIONER GROUP, LLC

Practice address

7700 Old Branch Ave Ste D230
Clinton, MD 20735-1628

Phone

(202) 558-0504

NPI assigned

Feb 7, 2019

Organization subpart

No

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

Authorized official

Name

Jacqueline McDarry Newsome-WilliamsNPI 1366883621

Title

Medical Director

Phone

(301) 664-3193

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline McDarry Newsome-Williams, PH.D.RN,ANP-BC, FNP

  • Family Nurse Practitioner
  • Clinton, MD
  • NPI 1366883621

  DC

  Medicare reassignment Authorized official
• Kristal Gardiner, FNP-C

  • Family Nurse Practitioner
  • Washington, DC
  • NPI 1912315375

  MD

  Medicare reassignment

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1992260574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70861",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208130861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE STE D230",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "202-558-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON AREA NURSE PRACTITIONER GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "NEWSOME-WILLIAMS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MCDARRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-664-3193"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theolyn Walker, LCPC
• Jacael Olia Wallace
• Lulu Sophia Wang, M.D.
• Rearnna Wanzer
• Kimberly Warren
• Washington Family Dental Center
• Washington Open MRI Inc
• Washington Orthopaedic & Knee Clinic
• Ajai Washington, LMSW
• Ashley Watkins

• Family Nurse Practitioner in Clinton, MD
• Providers in Clinton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.