Active NPI
David Stewart, FNP-C PMHNP-BC
- Family Nurse Practitioner
- Georgetown, DE
National Provider Identifier
1679964688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC001477
- Practice address
- 21444 Carmean Way
Georgetown, DE 19947-4572 - Phone
- (302) 855-1233
- NPI assigned
- Feb 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0000826 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC003915 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010264 | DE | |
| Family Nurse Practitioner | 363LF0000X | AC001477 | MD | Primary |
Addresses
Primary practice location
21444 Carmean Way
Georgetown, DE 19947-4572
Mailing address
9 McIntosh CT
Lewes, DE 19958-9727
Phone (302) 363-6807
Other practice location 1
4 North Ave Ste 420
Bel Air, MD 21014-2314
Phone (410) 638-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150406001916 | DE | Practitioner - Nurse Practitioner | 4082932942 | |
| I20150408001735 | MD | Practitioner - Nurse Practitioner | 4082932942 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000826 | DE | MD | Family Nurse Practitioner |
| AC001477 | MD | MD | Family Nurse Practitioner |
| L8-0010264 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
| AC003915 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Emergency Medicine Physicians, LLC | Current | Accepting new patients | |
| Harford Health and Wellness | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500
520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1285854026
MD
-
- Psychiatric/Mental Health Nurse Practitioner
- Bel Air, MD
- NPI 1689207607
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1679964688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MCINTOSH CT",
"city": "LEWES",
"state": "DE",
"postal_code": "199589727",
"telephone_number": "302-363-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21444 CARMEAN WAY",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199474572",
"telephone_number": "302-855-1233"
}
],
"practiceLocations": [
{
"address_1": "4 North Ave Ste 420",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210142314",
"country_code": "US",
"telephone_number": "410-638-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "DAVID",
"credential": "FNP-C PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-12",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000826",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC003915",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0010264",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC001477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.