Individual provider Active NPI

Tywanna Hamilton, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MD
National Provider Identifier
1487070868
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R245831 Issued in MD
Practice address
7556 Teague Rd Ste 210
Hanover, MD 21076
Phone
(410) 551-0499
Fax
(410) 799-9070
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 709999 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R245831 MD Primary

Addresses

Primary practice location

7556 Teague Rd Ste 210
Hanover, MD 21076

Mailing address

124 Slade Ave
Ste 101
Pikesville, MD 21208-4900
Phone (410) 729-5100

Other practice location 1

8240 Antoine Dr Ste 107
Houston, TX 77088-2522
Phone (281) 447-5570

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
I20180116000759 MD Practitioner - Nurse Practitioner 3779868856 Reassigns benefits to 4 organizations
I20210302001134 DC Practitioner - Nurse Practitioner 3779868856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

124 Slade Ave
Suite 101
Pikesville, MD 21208-4900
Phone (410) 452-4325

7434 Saint Margarets Blvd
Unit a
Hanover, MD 21076-2253
Phone (903) 407-2354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
709999TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Mind Wellness LLC CurrentSince Nov 27, 2022 Accepting new patients
Chosen Therapeutic Services Psychiatric/Mental Health Current Accepting new patients
Hamilton Medical & Associates Family CurrentSince Feb 1, 2020 Accepting new patients
Thrive Counseling LLC CurrentSince Sep 26, 2022 Accepting new patients

Locations

2 Hamill Rd
Ste 410
Baltimore, MD 21210
Phone (410) 504-1575

5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240

9091 Snowden River Pkwy
Columbia, MD 21046
Phone (410) 322-5739

124 Slade Ave
Ste 101
Pikesville, MD 21208
Phone (410) 452-4325

1100 Mercantile Ln
Ste 136
Uppr Marlboro, MD 20774
Phone (202) 999-8413

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1487070868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE",
            "address_2": "STE 101",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084900",
            "telephone_number": "410-729-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 TEAGUE RD STE 210",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "21076",
            "telephone_number": "410-551-0499",
            "fax_number": "410-799-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8240 Antoine Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770882522",
            "country_code": "US",
            "telephone_number": "281-447-5570",
            "fax_number": "281-447-5598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TYWANNA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "709999",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R245831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.