Individual provider Active NPI

Whitney L Fox, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Timonium, MD
National Provider Identifier
1295289890
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R191947 Issued in MD
Practice address
57 W Timonium Rd Ste 305
Timonium, MD 21093-3106
Phone
(443) 275-2068
NPI assigned
Aug 11, 2016
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 R191947 MD Primary

Addresses

Primary practice location

57 W Timonium Rd Ste 305
Timonium, MD 21093-3106

Mailing address

57 W Timonium Rd Ste 305
Timonium, MD 21093-3106
Phone (443) 275-2068

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
I20161110000341 MD Practitioner - Nurse Practitioner 4183903453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Miu Group LLCGroup PAC ID 8527446418, 3 clinicians

Practice addresses (Care Compare)

57 W Timonium Rd
305 Miu Center
Lutherville Timonium, MD 21093-3106
Phone (443) 275-2068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R191947MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miu Group LLC CurrentSince Dec 11, 2023 Accepting new patients
Aspire Wellness Center, Inc. CurrentSince Sep 26, 2016 Accepting new patients

Locations

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

6918 Ridge Rd
Rosedale, MD 21237
Phone (410) 687-4400

57 W Timonium Rd
Ste 305
Timonium, MD 21093
Phone (443) 275-2068

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25239/brand/1/csg/1/fhir/r4

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1295289890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD STE 305",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933106",
            "telephone_number": "443-275-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD STE 305",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933106",
            "telephone_number": "443-275-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "WHITNEY",
        "middle_name": "L",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-02-21",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R191947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.