Headwaters Restoration Therapy LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

HEADWATERS RESTORATION THERAPY LLC

Practice address

14689 Garrett Hwy Ste 3
Oakland, MD 21550-4059

Phone

(301) 859-7178

Fax

(240) 270-5229

NPI assigned

Nov 29, 2023

Last updated

Jan 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Ryan Crabtree, CRNPNPI 1760952170

Title

Provider

Phone

(304) 777-7467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Ryan Crabtree, CRNP

  • Family Nurse Practitioner
  • Oakland, MD
  • NPI 1760952170
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Nichole Meyers, CRNP

  • Family Nurse Practitioner
  • Oakland, MD
  • NPI 1538696604
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1154197283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14689 GARRETT HWY",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504059",
            "telephone_number": "301-859-7178",
            "fax_number": "240-270-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14689 GARRETT HWY STE 3",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504059",
            "telephone_number": "301-859-7178",
            "fax_number": "240-270-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS RESTORATION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "304-777-7467",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole B Hart, LCSWC
• Cynthia Lynn Hauser, RN NCM DN
• Kenneth W. Hawk, NP
• Kathy Elaine Hay, RN
• George Fred Hazelwood III, DDS
• Healing Perspectives Counseling LLC
• Karen Diana Hershfeld, PA-C
• Norma J Heydon-Wrather, MHS,CCC,SLP
• Jason Paul Hieronimus, DDS
• High Point Behavioral Health LLC

• Nurse Practitioner in Oakland, MD
• Providers in Oakland, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.