Individual provider Active NPI

Hayley White, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tyaskin, MD
National Provider Identifier
1235972480
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R229720 Issued in MD
Practice address
22306 Capitola Rd
Tyaskin, MD 21865-2026
Phone
(443) 783-6237
Fax
(667) 218-3765
NPI assigned
Jun 17, 2024
Last updated
Feb 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R229720 MD Primary

Addresses

Primary practice location

22306 Capitola Rd
Tyaskin, MD 21865-2026

Mailing address

22306 Capitola Rd
Tyaskin, MD 21865-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250417000599 MD Practitioner - Nurse Practitioner 9032634555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspiration Health Services LLCGroup PAC ID 1153665161, 7 clinicians

Practice addresses (Care Compare)

103 E Main St
Fruitland, MD 21826-1604
Phone (410) 831-3899

609 W Main St
Crisfield, MD 21817-1150
Phone (410) 831-3899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R229720MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiration Health Services, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Inspiration Health Services, LLC Psychiatric/Mental Health PastSince May 7, 2024 Accepting new patients

Locations

321 E Stein Hwy
Seaford, DE 19973
Phone (410) 831-3899

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1235972480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22306 CAPITOLA RD",
            "city": "TYASKIN",
            "state": "MD",
            "postal_code": "218652026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22306 CAPITOLA RD",
            "city": "TYASKIN",
            "state": "MD",
            "postal_code": "218652026",
            "telephone_number": "443-783-6237",
            "fax_number": "667-218-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HAYLEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R229720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyaskin, MD

Sources for this page

Verify at the official NPI Registry.