Shellayne Whalen

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP46768 Issued in MD

Practice address

11000 Billingsley Road
Waldorf, MD 20602

Phone

(240) 754-6118

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 11100 Billingsley Road Opco LLC

  dba Recovery Centers of America at Capital Region

  • Substance Abuse Rehabilitation Facility
  • Waldorf, MD
  • NPI 1073021853
  NPD
• 11100 Billingsley Road Opco LLC

  dba Recovery Centers of America Capital Region

  • Substance Abuse Rehabilitation Facility
  • Waldorf, MD
  • NPI 1639043011
  NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1114705738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 BILLINGSLEY RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 BILLINGSLEY ROAD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "240-754-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "SHELLAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP46768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaya Tene Wells
• Bruce Allan Wenzel, DPM
• Cindy Hope West, P.T.
• Mona West
• Westcare Home Health Services, LLC
• Antonette Michelle Wheeler
• White Plains Primary Care
• White Plains Primary Care
• Bertha White, LCSW-C
• Brent White Jr., D.D.S

• Licensed Practical Nurse in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.