Individual provider Active NPI

Haley Mushrush, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1659843605
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R252957 Issued in MD
Practice address
1833 Forest Dr Ste a
Annapolis, MD 21401-4580
Phone
(410) 216-9180
NPI assigned
Dec 31, 2018
Last updated
Jun 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R252957 MD Primary

Addresses

Primary practice location

1833 Forest Dr Ste a
Annapolis, MD 21401-4580

Mailing address

1833 Forest Dr Ste a
Annapolis, MD 21401-4580
Phone (410) 216-9180

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

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
I20241016000218 MD Practitioner - Nurse Practitioner 4082146097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Health Integrative Medicine LLC CurrentSince Aug 4, 2024 Accepting new patients
Crisis Center of Tampa Bay Past Accepting new patients

Locations

1833 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 216-9180

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1659843605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014580",
            "telephone_number": "410-216-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014580",
            "telephone_number": "410-216-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHRUSH",
        "first_name": "HALEY",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R252957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.