Active NPI
Wendy Jo Hannon, APRN,PMHNP-BC,ANP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Nottingham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R133863
- Practice address
- 8009 Corporate Dr Unit C
Nottingham, MD 21236-4977 - Phone
- (410) 838-9500
- NPI assigned
- Feb 1, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R133863 | MD | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | R133863 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R133863 | MD | Primary |
Addresses
Primary practice location
8009 Corporate Dr Unit C
Nottingham, MD 21236-4977
Mailing address
841 E Fort Ave # 366
Baltimore, MD 21230-5117
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5430 Campbell Blvd
Suite 211
White Marsh, MD 21162-5504
Phone (410) 893-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Safe Harbor Community Services | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
606 Baltimore Ave
Ste 406
Baltimore, MD 21204
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
5430 Campbell Blvd
Ste 211
White Marsh, MD 21162
Phone (410) 838-9500
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Bel Air, MD
- NPI 1316487879
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bel Air, MD
- NPI 1184209447
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1265404644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 E FORT AVE # 366",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212305117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8009 CORPORATE DR UNIT C",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364977",
"telephone_number": "410-838-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "WENDY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "APRN,PMHNP-BC,ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R133863",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MD",
"license": "R133863",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R133863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.