Individual provider Active NPI

Carol Lisha Whittington-Washington, CRNP

  • Pediatric Nurse Practitioner
  • Landover, MD
National Provider Identifier
1053620971
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R094051 Issued in MD
Practice address
8700 Central Ave Ste 302
Landover, MD 20785-4853
Phone
(301) 333-0083
Fax
(301) 333-0442
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R094051 MD Primary

Addresses

Primary practice location

8700 Central Ave Ste 302
Landover, MD 20785-4853

Mailing address

8700 Central Ave Ste 302
Landover, MD 20785-4853
Phone (301) 333-0083

Other identifiers 1

IdentifierTypeStateIssuer
146131100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R094051MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidz NP, Inc. Pediatrics Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6490 Landover Rd
Ste H
Cheverly, MD 20785
Phone (240) 636-2377

8700 Central Ave
Ste 302
Landover, MD 20785
Phone (301) 333-0083

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16629/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1053620971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 302",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "301-333-0083",
            "fax_number": "301-333-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 302",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "301-333-0083",
            "fax_number": "301-333-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON-WASHINGTON",
        "first_name": "CAROL",
        "middle_name": "LISHA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R094051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146131100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.