Shadeeka Wainwright, CPRP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75421490 Issued in MD

Practice address

3500 Dolfield Ave Unit 67143
Baltimore, MD 21215-8614

Phone

(908) 956-3207

NPI assigned

Dec 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1780491282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DOLFIELD AVE UNIT 67143",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DOLFIELD AVE UNIT 67143",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158614",
            "telephone_number": "908-956-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "SHADEEKA",
        "credential": "CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "75421490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shareigns@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3500 Dolfield Ave Unit 67143",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212158614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole L Waihman
• Namiyah Wailes
• Julia Jane Wainger
• Jean M Wainstock, CRNP
• Ianasia Wainwright
• Susan Braynard Wait, MD
• Angela Waite, M.S., F.A.A.A.
• Neelofar Wajahat, MD
• Laura Marie Wake, MD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3507)

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.