Active NPI
Misha Capri Purnell, CPNP
- Pediatric Nurse Practitioner
- Waldorf, MD
National Provider Identifier
1174043236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R214060
- Practice address
- 3450 Old Washington Rd Ste 100
Waldorf, MD 20602-3249 - Phone
- (301) 572-3032
- NPI assigned
- Jun 21, 2017
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R214060 | MD | Primary |
| Pediatrics Physician | 208000000X | 20170472 | MD |
Addresses
Primary practice location
3450 Old Washington Rd Ste 100
Waldorf, MD 20602-3249
Mailing address
12211 Plum Orchard Dr Ste 220
Silver Spring, MD 20904-7919
Other practice location 1
9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone (301) 599-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20170472 | MD | MD | Pediatrics Physician |
| R214060 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Pediatricians & Associates, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Silver Spring, MD
- NPI 1396932687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1174043236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12211 PLUM ORCHARD DR STE 220",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 OLD WASHINGTON RD STE 100",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023249",
"telephone_number": "301-572-3032"
}
],
"practiceLocations": [
{
"address_1": "9692 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Upper Marlboro",
"state": "MD",
"postal_code": "207723670",
"country_code": "US",
"telephone_number": "301-599-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURNELL",
"first_name": "MISHA",
"middle_name": "CAPRI",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R214060",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "20170472",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Psychotherapeutic Services of Southern Maryland
- Pulmonary and Critical Care Associates of Southern Maryland LLC
- Purple Cares Therapeutic Solutions,Inc
- Purpose Living Home Care LLC
- Purposeful Assessment, Consultation, and Training, LLC
- Laura Tomlines Putnam, CRNP
- Pyramid Walden LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.