Nadia Wedderburn, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R215815 Issued in MD

Practice address

23620 Three Notch Rd Unit 101
Hollywood, MD 20636-3083

Phone

(786) 597-8989

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• CRH MD Management LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Reisterstown, MD
  • NPI 1598435059
  Medicare reassignment NPD
• CRH MD Management, LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Fort Washington, MD
  • NPI 1841072477
  NPD
• PM Kids

  • Pediatrics Physician
  • White Plains, MD
  • NPI 1689134124
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1386205391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23620 THREE NOTCH RD UNIT 101",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206363083",
            "telephone_number": "240-544-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23620 THREE NOTCH RD UNIT 101",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206363083",
            "telephone_number": "786-597-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDERBURN",
        "first_name": "NADIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R215815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VPK Shah RX LLC
• Carolyn Wagner, M.A., CCC-SLP
• John Elliott Walker, MA RNC
• Kristen Lynn Walker, LGPC
• Linda Warren, PTA
• Mary Grace Weeks, CRNP
• Rachel Werner
• Julie Wilkening, DC
• Jenny Lynn Williams, L. AC.
• Youngsik Moon, M.D., P.a. (Hollywood Medical Center)

• Family Nurse Practitioner in Hollywood, MD
• Providers in Hollywood, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.