Individual provider Active NPI

David Stewart, FNP-C PMHNP-BC

  • Family Nurse Practitioner
  • Georgetown, DE
National Provider Identifier
1679964688
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC001477 Issued in MD
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

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 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
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

LicenseStateTypeSpecialty
LG-0000826DEMDFamily Nurse Practitioner
AC001477MDMDFamily Nurse Practitioner
L8-0010264DEMDPsychiatric/Mental Health Nurse Practitioner
AC003915MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Emergency Medicine Physicians, LLC CurrentSince Mar 1, 2015 Accepting new patients
Harford Health and Wellness Psychiatric/Mental Health PastSince Feb 8, 2020 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.

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

Verify at the official NPI Registry.