Individual provider Active NPI

Caroline Anderson

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1730753203
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R176338 Issued in MD
Practice address
316 Main St Ste 200
Gaithersburg, MD 20878-6551
Phone
(301) 284-0488
Fax
(301) 284-3999
NPI assigned
May 18, 2021
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R176338 MD Primary

Addresses

Primary practice location

316 Main St Ste 200
Gaithersburg, MD 20878-6551

Mailing address

316 Main St Ste 200
Gaithersburg, MD 20878-6551
Phone (301) 284-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R176338MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tides and Light Mental Wellness, LLC Current Accepting new patients
Silver Psychotherapy LLC Psychiatric/Mental Health CurrentSince Mar 5, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5970 Frederick Crossing Ln
Ste 100
Frederick, MD 21704
Phone (240) 415-6373

316 Main St
Ste 200
Gaithersburg, MD 20878
Phone (301) 284-0488

2502 Urbana Pike
Ijamsville, MD 21754
Phone (240) 415-8893

2502 Urbana Pike
Ste 203A
Ijamsville, MD 21754
Phone (240) 415-8893

Organizations & group practices 3

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1730753203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN ST STE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786551",
            "telephone_number": "301-284-0488",
            "fax_number": "301-284-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST STE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786551",
            "telephone_number": "301-284-0488",
            "fax_number": "301-284-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R176338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.