Individual provider Active NPI

Avareitta Margarette Bailey Woollery

  • Psychiatry Physician
  • Bowie, MD
National Provider Identifier
1770368185
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R174902 Issued in MD
Practice address
8310 Quill Point Dr
Bowie, MD 20720-4345
Phone
(443) 223-2285
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X R174902 MD Primary

Addresses

Primary practice location

8310 Quill Point Dr
Bowie, MD 20720-4345

Mailing address

8310 Quill Point Dr
Bowie, MD 20720-4345
Phone (443) 223-2285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240229000100 DC Practitioner - Nurse Practitioner 1153730684 Reassigns benefits to 1 organization
Practice locations: Bowie, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8310 Quill Point Dr
Bowie, MD 20720-4345
Phone (443) 223-2285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Insight & Behavioral Services LLC Single Specialty CurrentSince Apr 12, 2024 Accepting new patients
Cayvalia Exchange LLC Single Specialty Current Accepting new patients
Maravar Holdings, Inc. PastSince May 12, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1770368185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 QUILL POINT DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204345",
            "telephone_number": "443-223-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 QUILL POINT DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204345",
            "telephone_number": "443-223-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY WOOLLERY",
        "first_name": "AVAREITTA",
        "middle_name": "MARGARETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R174902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.