Individual provider Active NPI

Whitney Shaw Williams, NP

  • Women's Health Nurse Practitioner
  • Portland, ME
National Provider Identifier
1629423306
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95004254 Issued in CA
Practice address
443 Congress St FL 2
Portland, ME 04101-3531
Phone
(207) 797-8881
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95004254 CA Primary

Addresses

Primary practice location

443 Congress St FL 2
Portland, ME 04101-3531

Mailing address

784 Hercules Dr
Ste 110
Colchester, VT 05446-8049
Phone (802) 448-9755

Other practice location 1

220 Euclid Ave
Suite 30
San Diego, CA 92114-3644
Phone (619) 881-4563

Other names 1

  • Whitney Shaw Terrill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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
I20181107000749 ME Practitioner - Nurse Practitioner 6901150143 Reassigns benefits to 1 organization
I20241217002025 NH Practitioner - Nurse Practitioner 6901150143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbour Womens Health PLLCGroup PAC ID 5395774954, 14 clinicians

Practice addresses (Care Compare)

155 Griffin Rd
Portsmouth, NH 03801-2093
Phone (603) 431-6011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004254CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Women'S Health CurrentSince Apr 13, 2020 Accepting new patients
Maine Medical Partners CurrentSince Apr 13, 2020 Accepting new patients
Harbour Womens Health PLLC CurrentSince Dec 1, 2024 Accepting new patients
Planned Parenthood of the Pacific Southwest Past Accepting new patients
Planned Parenthood of Northern New England PastSince Sep 11, 2018 Accepting new patients
Planned Parenthood of the Pacific Southwest Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

100 Brickhill Ave
South Portland, ME 04106
Phone (207) 773-1728

155 Griffin Rd
Portsmouth, NH 03801
Phone (603) 430-5225

155 Griffin Rd
Unit 1
Portsmouth, NH 03801
Phone (603) 430-5225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEFEBA

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1629423306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HERCULES DR",
            "address_2": "STE 110",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468049",
            "telephone_number": "802-448-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 CONGRESS ST FL 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013531",
            "telephone_number": "207-797-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Euclid Ave",
            "address_2": "Suite 30",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921143644",
            "country_code": "US",
            "telephone_number": "619-881-4563",
            "fax_number": "866-886-7824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WHITNEY",
        "middle_name": "SHAW",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95004254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "TERRILL",
            "middle_name": "SHAW",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.