Organization Active NPI

My Telehealth Docs LLC

  • Family Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1083374003
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MY TELEHEALTH DOCS LLC
Practice address
11330 Wildmeadows St
Waldorf, MD 20601-2684
Phone
(240) 230-2906
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Cadine BarrettNPI 1659664894
Title
Owner
Phone
(240) 230-2906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11330 Wildmeadows St
Waldorf, MD 20601-2684

Mailing address

11330 Wildmeadows St
Waldorf, MD 20601-2684

National Provider Directory

National Provider Directory

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": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1083374003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 WILDMEADOWS ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 WILDMEADOWS ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012684",
            "telephone_number": "240-230-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TELEHEALTH DOCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "CADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-230-2906"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "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 Dec 20, 2021; 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.