Active NPI
Bernadette B Chestnutt, CRFNP
- Family Nurse Practitioner
- Olney, MD
National Provider Identifier
1235147067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R081807
- Practice address
- 18111 Prince Philip Dr
Suite 300
Olney, MD 20832-1513 - Phone
- (301) 774-2991
- Fax
- (301) 260-0738
- NPI assigned
- Aug 4, 2006
- Last updated
- May 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R081807 | MD | Primary |
Addresses
Primary practice location
18111 Prince Philip Dr
Suite 300
Olney, MD 20832-1513
Mailing address
PO Box 1170
Olney, MD 20830-1170
Phone (301) 774-2991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 648871400 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R081807 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| David B. Harding, MD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1871637884
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1235147067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1170",
"city": "OLNEY",
"state": "MD",
"postal_code": "208301170",
"telephone_number": "301-774-2991",
"fax_number": "301-260-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 PRINCE PHILIP DR",
"address_2": "SUITE 300",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321513",
"telephone_number": "301-774-2991",
"fax_number": "301-260-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESTNUTT",
"first_name": "BERNADETTE",
"middle_name": "B",
"credential": "CRFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R081807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "648871400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.