Individual provider Active NPI

Heather Yannitto, FNP-C

  • Family Medicine Physician
  • Centreville, MD
National Provider Identifier
1275101040
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R221392 Issued in MD
Practice address
138 Coursevall Dr
Centreville, MD 21617-1824
Phone
(410) 505-7800
NPI assigned
Jun 16, 2021
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R221398 MD
Family Medicine Physician 207Q00000X R221392 MD Primary

Addresses

Primary practice location

138 Coursevall Dr
Centreville, MD 21617-1824

Mailing address

138 Coursevall Dr
Centreville, MD 21617-1824
Phone (410) 505-7800

Other practice location 1

6602 Church Hill Rd Ste 550
Chestertown, MD 21620-2323
Phone (855) 527-7246

Other practice location 2

120 Sallitt Dr Ste D
Stevensville, MD 21666-2154
Phone (855) 527-7246

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
I20211207001105 MD Practitioner - Nurse Practitioner 7214327238 Reassigns benefits to 2 organizations
I20220502000030 DC Practitioner - Nurse Practitioner 7214327238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

138 Coursevall Dr
Centreville, MD 21617-1824
Phone (410) 505-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R221398MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC CurrentSince May 9, 2022 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince May 9, 2022 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

6410 Rockledge Dr
Ste 421
Bethesda, MD 20817

6602 Church Hill Rd
Ste 550
Chestertown, MD 21620

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1275101040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 COURSEVALL DR",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171824",
            "telephone_number": "410-505-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 COURSEVALL DR",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171824",
            "telephone_number": "410-505-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6602 Church Hill Rd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216202323",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Sallitt Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MD",
            "postal_code": "216662154",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANNITTO",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R221398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R221392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.