Individual provider Active NPI

Shawnette T Goines, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1093593196
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R142565 Issued in MD
Practice address
5525 Eastern Ave
Baltimore, MD 21224-2796
Phone
(667) 328-9051
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R142565 MD Primary

Addresses

Primary practice location

5525 Eastern Ave
Baltimore, MD 21224-2796

Mailing address

17 Ketch Cay CT
Baltimore, MD 21220-7512
Phone (667) 328-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240122000296 MD Practitioner - Nurse Practitioner 2163874587 Reassigns benefits to 6 organizations
I20241016001903 DC Practitioner - Nurse Practitioner 2163874587 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

Washington, DC 20002
Phone (862) 812-9010

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

901 1St St NW
Washington, DC 20001-1403
Phone (443) 383-9300

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R142565MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC CurrentSince Feb 9, 2026 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Feb 9, 2026 Accepting new patients
Consonant Healing Medical Associates CurrentSince Aug 1, 2025 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Feb 9, 2026 Accepting new patients
Primary NP Associates Family CurrentSince Jan 3, 2024 Accepting new patients
Integrated Healthcare Solutions CurrentSince Sep 21, 2024 Accepting new patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1500 K St NW
Ofc 226A
Washington, DC 20005
Phone (862) 812-9010

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

901 1st St NW
Washington, DC 20001
Phone (202) 282-3005

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

110 Painters Mill Rd
Ste 206
Owings Mills, MD 21117
Phone (410) 356-4680

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1093593196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KETCH CAY CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212207512",
            "telephone_number": "667-328-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242796",
            "telephone_number": "667-328-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINES",
        "first_name": "SHAWNETTE",
        "middle_name": "T",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R142565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.