NPIMap

Organization Active NPI

White Plains Primary Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1033718762
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WHITE PLAINS PRIMARY CARE
Practice address
50 Post Office Rd Ste 304
Waldorf, MD 20602-3704
Phone
(240) 349-2448
Fax
(240) 349-2243
NPI assigned
Oct 23, 2020
Organization subpart
Yes
Parent organization
WHITE PLAINS PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Donna R Knott
Title
Partner
Phone
(240) 417-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

50 Post Office Rd Ste 304
Waldorf, MD 20602-3704

Mailing address

50 Post Office Rd Ste 304
Waldorf, MD 20602-3704
Phone (240) 349-2448

National Provider Directory

National Provider Directory
Tax ID family
White Plains Primary Care2 organizations share this tax ID, including this one
Part of
White Plains Primary Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Post Office Rd
Ste 304
Waldorf, MD 20602
Phone (240) 349-2448

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12136/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1033718762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POST OFFICE RD STE 304",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023704",
            "telephone_number": "240-349-2448",
            "fax_number": "240-349-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POST OFFICE RD STE 304",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023704",
            "telephone_number": "240-349-2448",
            "fax_number": "240-349-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PLAINS PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE PLAINS PRIMARY CARE",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "240-417-6424"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.