Individual provider Active NPI

Shonte Renee Drakeford, APRN NP-C

  • Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1033673918
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R184455 Issued in MD
Practice address
6610 Woodyard Road
Upper Marlboro, MD 20772
Phone
(240) 899-1950
NPI assigned
Jan 25, 2019
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R184455 MD Primary

Addresses

Primary practice location

6610 Woodyard Road
Upper Marlboro, MD 20772

Mailing address

6610 Woodyard Road
Upper Marlboro, MD 20772
Phone (240) 899-1950

Other names 1

  • Shonte Renee Calhoun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415000161 DC Practitioner - Nurse Practitioner 1456827831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6610 Woodyard Rd
Upper Marlboro, MD 20772-3847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R184455MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Multispecialty Urgent Care LLC Past Accepting new patients
Chivic Healthcare Services LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22816/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1033673918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 WOODYARD ROAD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "240-899-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 WOODYARD ROAD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "240-899-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKEFORD",
        "first_name": "SHONTE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R184455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONTE",
            "last_name": "CALHOUN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.