Individual provider Active NPI

Brandy Lynn Dawson Cumberland, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1497410633
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R191962 Issued in MD
Practice address
7 Cedar St Ste 3
Cambridge, MD 21613-2381
Phone
(410) 205-6477
Fax
(410) 621-4834
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 R191962 MD Primary

Addresses

Primary practice location

7 Cedar St Ste 3
Cambridge, MD 21613-2381

Mailing address

7 Cedar St Ste 3
Cambridge, MD 21613-2381
Phone (410) 205-6477

Other practice location 1

403 High St
Cambridge, MD 21613-1804
Phone (443) 225-5780

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Other names 1

  • Ms. Brandy Lynn Dawson Former name

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
I20220126001311 MD Practitioner - Nurse Practitioner 7618942756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corsica River Mental Health Services, Inc.Group PAC ID 0941497382, 9 clinicians

Practice addresses (Care Compare)

120 Banjo LN
Centreville, MD 21617-1002
Phone (410) 758-2211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corsica River Mental Health Services, Inc. Current Accepting new patients
Blackwater Wellness, LLC Psychiatric/Mental Health CurrentSince Nov 28, 2023 Accepting new patients
Corsica River Mental Health Service, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Sailwinds Medical, LLC Past Accepting new patients

Locations

7 Cedar St
Ste 3
Cambridge, MD 21613
Phone (410) 205-6477

403 High St
Cambridge, MD 21613
Phone (443) 225-5780

120 Banjo Ln
Centreville, MD 21617
Phone (410) 758-2211

Organizations & group practices 4

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1497410633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR ST STE 3",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132381",
            "telephone_number": "410-205-6477",
            "fax_number": "410-621-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR ST STE 3",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132381",
            "telephone_number": "410-205-6477",
            "fax_number": "410-621-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 High St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216131804",
            "country_code": "US",
            "telephone_number": "443-225-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON CUMBERLAND",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R191962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "DAWSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.