Individual provider Active NPI

Keesha Holden-White, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1750834800
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R163843 Issued in MD
Practice address
1410 S Salisbury Blvd Ste 1
Salisbury, MD 21801-7131
Phone
(443) 944-9245
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R163843 MD
Family Nurse Practitioner 363LF0000X R163843 MD Primary

Addresses

Primary practice location

1410 S Salisbury Blvd Ste 1
Salisbury, MD 21801-7131

Mailing address

1410 S Salisbury Blvd Ste 1
Salisbury, MD 21801-7131
Phone (410) 845-3312

Other practice location 1

540 Snow Hill Rd Ste B
Salisbury, MD 21804-6031
Phone (443) 944-9245

Other identifiers 1

IdentifierTypeStateIssuer
502366100MedicaidMD

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161003000733 MD Practitioner - Nurse Practitioner 9032406285 Reassigns benefits to 6 organizations
I20161003000783 DC Practitioner - Nurse Practitioner 9032406285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balanced Life Counseling Services LLCGroup PAC ID 4688937717, 5 clinicians

Practice addresses (Care Compare)

540 Snow Hill Rd
Salisbury, MD 21804-6031
Phone (443) 735-4038

560 Riverside Dr
Suite B101
Salisbury, MD 21801-4701
Phone (410) 422-3823

614 Eastern Shore Dr
Suite B
Salisbury, MD 21804-5940
Phone (443) 736-7721

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R163843MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Life Counseling Services, LLC CurrentSince Jul 5, 2024 Accepting new patients
Oc Wellness LLC Family CurrentSince Aug 28, 2021 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Family CurrentSince Jun 12, 2017 Accepting new patients
Next Chapter Behavioral Health LLC CurrentSince Oct 1, 2025 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2017 Accepting new patients
Oc Wellness LLC Family CurrentSince Jan 27, 2020 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jun 12, 2017 Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

11101 Cathage Rd
Unit 102
Berlin, MD 21811
Phone (410) 912-6104

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

951 Mount Hermon Rd
Ste A
Salisbury, MD 21804
Phone (410) 548-2700

540 Snow Hill Rd
Ste B
Salisbury, MD 21804
Phone (443) 944-9245

560 Riverside Dr
Ste B101
Salisbury, MD 21801
Phone (410) 422-3823

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

614 Eastern Shore Dr
Ste B
Salisbury, MD 21804
Phone (410) 546-1331

145 E Carroll St
Ste A
Salisbury, MD 21801

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

1410 S Salisbury Blvd
Ste 1
Salisbury, MD 21801
Phone (443) 735-4038

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

540 Snow Hill Rd
Unit B
Salisbury, MD 21804

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

428 W Market St
Snow Hill, MD 21863
Phone (410) 632-0892

Interoperability endpoints

  • Direct secure messaging: keesha.holden-white.1@20297.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20297/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1750834800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S SALISBURY BLVD STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017131",
            "telephone_number": "410-845-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S SALISBURY BLVD STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017131",
            "telephone_number": "443-944-9245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Snow Hill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218046031",
            "country_code": "US",
            "telephone_number": "443-944-9245",
            "fax_number": "888-886-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDEN-WHITE",
        "first_name": "KEESHA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R163843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R163843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502366100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.