Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KACKLEY
ActiveMARY KACKLEY is a Nurse Practitioner healthcare provider located in WASHINGTON, Washington D.C.. NPI 1285241554 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WASHINGTON, DC
Registration Details
- NPI Number
- 1285241554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2020 (5.8630140772202 yrs)
- Last Updated
- Jul 21, 2025
- Licenses
-
0024180229 (VA)NP1039064 (DC)
Practice Information
- Address
-
5255 LOUGHBORO RD NWWASHINGTON, DC, 200162633Browse DC providers · Browse ZIP 20016
- Phone
- 2025374000
- Fax
- 2025374588
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in WASHINGTON, DC
| Name | Credential | NPI |
|---|---|---|
| MR. HOWARD FRANCIS PILLER | MD | 1710985023 |
| MARGARET HADRO VENZKE | — | 1780676379 |
| DEBORAH MORONE | — | 1821086109 |
| MRS. LAURA MICHELLE INGRUM | NP-C | 1295726859 |
| MS. DENISE MEEKINS WILLIAMS | CRNP | 1063496230 |
| BRIGID REYNOLDS | — | 1922084680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.