Individual provider Active NPI

Shaundra Parsley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1427688662
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R177271 Issued in MD
Practice address
7306 Stallings Dr
Glen Burnie, MD 21060-8371
Phone
(410) 707-6099
NPI assigned
Jan 15, 2020
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 R177271 MD Primary

Addresses

Primary practice location

7306 Stallings Dr
Glen Burnie, MD 21060-8371

Mailing address

7306 Stallings Dr
Glen Burnie, MD 21060-8371
Phone (410) 300-5056

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
I20220603000231 MD Practitioner - Nurse Practitioner 0941688931 Reassigns benefits to 1 organization
I20230612001417 DC Practitioner - Nurse Practitioner 0941688931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7306 Stallings Dr
Glen Burnie, MD 21060-8371
Phone (410) 705-4422

7933 Annapolis Rd
Suite 1054
Lanham, MD 20706-1309
Phone (410) 705-4422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R177271MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mind Health & Wellness, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Gilead Quantum Health Systems Inc. PastSince Jan 1, 2020 Accepting new patients
Affect Optimum Behavioral Health, LLC Psychiatric/Mental Health PastSince Jan 1, 2020 Accepting new patients

Locations

7933 Annapolis Rd
Lanham, MD 20706
Phone (410) 705-4422

Organizations & group practices 3

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1427688662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 STALLINGS DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608371",
            "telephone_number": "410-300-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 STALLINGS DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608371",
            "telephone_number": "410-707-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSLEY",
        "first_name": "SHAUNDRA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R177271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.