Individual provider Active NPI

Heather Whittaker, CRNP

  • Acute Care Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1235821141
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R228350 Issued in MD
Practice address
7711 Quarterfield Rd Ste a
Glen Burnie, MD 21061-4492
Phone
(410) 761-5600
Fax
(410) 761-5734
NPI assigned
May 22, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R228350 MD Primary

Addresses

Primary practice location

7711 Quarterfield Rd Ste a
Glen Burnie, MD 21061-4492

Mailing address

7580 Buckingham Blvd Ste 220
Hanover, MD 21076-3210
Phone (410) 729-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230629000038 MD Practitioner - Nurse Practitioner 6608235346 Reassigns benefits to 3 organizations
I20260302001651 DC Practitioner - Nurse Practitioner 6608235346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jad Wound Care, LLCGroup PAC ID 7719351501, 4 clinicians
Maryland Primary Care Physicians, LLCGroup PAC ID 8729981832, 101 clinicians

Practice addresses (Care Compare)

10463 Owen Brown Rd
Columbia, MD 21044-3835
Phone (301) 660-5654

7711 Quarterfield Rd
Suite a
Glen Burnie, MD 21061-4492
Phone (410) 761-5600

90 Ritchie Hwy
Pasadena, MD 21122-4303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R228350MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Primary Care Physicians, LLC CurrentSince Jul 13, 2023 Accepting new patients
Hospice of the Chesapeake, Inc CurrentSince Oct 1, 2025 Accepting new patients
Hospice of the Chesapeake, Inc CurrentSince Oct 1, 2025 Accepting new patients
Jad Wound Care, LLC CurrentSince Jul 24, 2025 Accepting new patients

Locations

1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600

7711 Quarterfield Rd
Ste A
Glen Burnie, MD 21061
Phone (410) 761-5560

7580 Buckingham Blvd
Ste 220
Hanover, MD 21076
Phone (410) 729-5100

90 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 987-2003

2505 Davis Rd
Waldorf, MD 20603
Phone (301) 861-5300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1235821141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 BUCKINGHAM BLVD STE 220",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763210",
            "telephone_number": "410-729-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 QUARTERFIELD RD STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614492",
            "telephone_number": "410-761-5600",
            "fax_number": "410-761-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "HEATHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R228350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.