Active NPI
Whitney Bradshaw, NP
- Psychiatric/Mental Health Nurse Practitioner
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R209524
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 543-7162
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R209524 | MD | Primary |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
35334 Tingle Rd
Willards, MD 21874-1323
Phone (443) 235-0491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210323000050 | MD | Practitioner - Nurse Practitioner | 9931516705 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Worcester County Health Department
Practice addresses (Care Compare)
9730 Healthway Dr
Berlin, MD 21811-1154
Phone (410) 629-0164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R209524 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic General Hospital Corporation | Current | Accepting new patients | |
| Worcester County Health Department | Current | Accepting new patients | |
| Worcester County Health Department | Current | Accepting new patients | |
| The Personal Wellness Center | Current | Accepting new patients | |
| Arman C. Moshyedi, MD, LLC | Current | Accepting new patients | |
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Worcester County Health Department | Current | Accepting new patients |
Locations
900 Bestgate Rd
Ste 102
Annapolis, MD 21401
Phone (443) 354-1200
9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100
9730 Healthway Dr
Berlin, MD 21811
Phone (410) 629-0164
1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824
1600 Crain Hwy S
Ste 608
Glen Burnie, MD 21061
Phone (443) 354-1200
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
821 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 334-6687
6508 Deer Pointe Dr
Ste 4C
Salisbury, MD 21804
Phone (410) 742-6016
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
Organizations & group practices 8
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.
-
- Psychiatry Physician
- Kensington, MD
- NPI 1578126306
-
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- Community/Behavioral Health Agency
- Snow Hill, MD
- NPI 1013287408
-
- Public Health or Welfare Agency
- Snow Hill, MD
- NPI 1982269098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1104454701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35334 TINGLE RD",
"city": "WILLARDS",
"state": "MD",
"postal_code": "218741323",
"telephone_number": "443-235-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-543-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "WHITNEY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R209524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.