Shaylyn Proulx, CRPN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R255619 Issued in MD

Practice address

170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909

Phone

(443) 291-8090

Fax

(443) 856-2106

NPI assigned

Dec 7, 2020

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shaylyn.white.1@18773.direct.athenahealth.com

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.

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• Arman C. Moshyedi, MD, LLC

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• Arman C. Moshyedi, MD, LLC

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• Azam Baig,M.D.

  dba South River Pediatrics

  • Primary Care Clinic/Center
  • Edgewater, MD
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  NPD (past)
• White Oak Pediatrics DRS Battiata & Impeduglia PA

  • Pediatrics Physician
  • Silver Spring, MD
  • NPI 1710139316
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1467058362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MAYO RD STE A",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372951",
            "telephone_number": "410-956-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 JENNIFER RD STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017909",
            "telephone_number": "443-291-8090",
            "fax_number": "443-856-2106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Bestgate Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013066",
            "country_code": "US",
            "telephone_number": "855-940-4867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Mayo Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "MD",
            "postal_code": "210372951",
            "country_code": "US",
            "telephone_number": "410-956-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROULX",
        "first_name": "SHAYLYN",
        "credential": "CRPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R255619",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R255619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promoting Positive Change, LLC
• Steven Gerald Proshan, MD
• Susan Prosser
• Proto360, LLC
• Proud Moments Licensed Behavior Analysts PLLC
• Elyse Provencher, L.AC., M.AC.
• Nancy S. Prugh, LCSW-C
• Nancy Pruitt, L.P.N.
• Mary Xenia Psaromatis, D.C.
• Psychotherapeutic Services of Southern Maryland , Inc

• Pediatric Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.