Individual provider Active NPI

Shadonna Williams, CNM

  • Advanced Practice Midwife
  • Capitol Heights, MD
National Provider Identifier
1639758733
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R200078 Issued in MD
Practice address
1442 Addison Rd S
Capitol Heights, MD 20743-4413
Phone
(304) 888-2233
Fax
(301) 997-1489
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024182531 VA
Advanced Practice Midwife 367A00000X R200078 MD Primary

Addresses

Primary practice location

1442 Addison Rd S
Capitol Heights, MD 20743-4413

Mailing address

1442 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 888-2233

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210706001335 MD Practitioner - Certified Nurse Midwife (CNM) 4486056025 Reassigns benefits to 2 organizations
I20220309000834 DC Practitioner - Certified Nurse Midwife (CNM) 4486056025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1442 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 888-2233

6 Garrett Ave
La Plata, MD 20646-5959
Phone (301) 888-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R200078MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 6, 2021 Accepting new patients
St Paul Place Specialists Inc CurrentSince Jul 15, 2021 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jun 21, 2022 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince Jan 11, 2026 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Jun 21, 2022 Accepting new patients
Greater Baden Medical Service Incorporated Advanced Practice Midwife CurrentSince Jan 11, 2026 Accepting new patients
St Paul Place Specialists, Inc. CurrentSince Jul 15, 2021 Accepting new patients
Capitol Cardiology Associates, LLC Current Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 6, 2021 Accepting new patients

Locations

345 Saint Paul St
Baltimore, MD 21202
Phone (410) 332-9594

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460

8030 Matthews Rd
#105107
Bryans Road, MD 20616

1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

1442 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

6 Garrett Ave
La Plata, MD 20646
Phone (301) 539-5100

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

23140 Moakley St
Ste 4
Leonardtown, MD 20650
Phone (301) 997-1029

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

6196 Oxon Hill Rd
Ste 540
Oxon Hill, MD 20745
Phone (301) 686-1665

Organizations & group practices 11

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1639758733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 ADDISON RD S",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434413",
            "telephone_number": "301-888-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 ADDISON RD S",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434413",
            "telephone_number": "304-888-2233",
            "fax_number": "301-997-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHADONNA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024182531",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R200078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

Verify at the official NPI Registry.