Jeannie Waytovich, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R26361 Issued in MD

Practice address

11200 Rockville Pike Ste 205
North Bethesda, MD 20852-3103

Phone

(301) 770-3700

NPI assigned

Nov 29, 2023

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1629844808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 WOODSTOCK CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101262",
            "telephone_number": "813-486-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 ROCKVILLE PIKE STE 205",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523103",
            "telephone_number": "301-770-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYTOVICH",
        "first_name": "JEANNIE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MD",
            "license": "R26361",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R26361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivien B Deitz LCSW PA
• Megan Kathryn Wainwright, LCPC
• Xiaofang Wang Lanterman, PH.D., MA, MS, LCMFT
• Ro Chen Wang, PHARM.D.
• Warby Parker Inc.
• Sarah M Weisberg, PSY.D.
• Jaleesa Williams
• Ahdaysia Williamson-McAllister, PA-C
• Saba F Wong, LMSW
• Ari Yares, PH.D.

• Adult Health Nurse Practitioner in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.