Mary Kackley is a Washington, District Of Columbia based nurse practitioner who is specialized as Family nurse. Active license number of Mary Kackley is NP1039064 in District Of Columbia. Her current practice location is 5255 Loughboro Rd Nw, Washington. Patients can reach her at 202-537-4000 or can fax her at 202-537-4588 with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1285241554. Mary Kackley delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mary Kackley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mary Kackley
Specialization:
Family Nurse Practitioner (FNP)
Gender:
Female
Practice Address:
5255 Loughboro Rd Nw, Washington, District Of Columbia, 20016-2633
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1285241554
NPI Enumeration Date:
30 Sep, 2020
NPI Last Update On:
21 Jul, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Kackley are as mentioned below.
License Number
Specialization
State
Status
NP1039064
District Of Columbia
Primary
0024180229
Family
Virginia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Kackley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0024180229
Other
Virginia
VIRGINIA BOARD OF NURSING
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Kackley 6201 Greenleigh Ave, Middle River, Maryland
Zip:
21220-2004
Phone Number:
202-537-4000
Fax Number:
410-500-4266
Patients can reach Mary Kackley at 5255 Loughboro Rd Nw, Washington, District Of Columbia or can call to book an appointment on 202-537-4000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.