Individual provider Active NPI

Maisha White, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1841850419
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R186758 Issued in MD
Practice address
4660 Wilkens Ave
Baltimore, MD 21229-4848
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jun 17, 2019
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R186758 MD Primary

Addresses

Primary practice location

4660 Wilkens Ave
Baltimore, MD 21229-4848

Mailing address

201 Defense Hwy Ste 260
Annapolis, MD 21401-7096
Phone (855) 527-7246

Other practice location 1

4107 Callaway Ave
Baltimore, MD 21215-6113
Phone (443) 213-8600

Other practice location 2

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone (410) 999-1699

Other names 1

  • Maisha Attahiru Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190930001823 MD Practitioner - Nurse Practitioner 2163752437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Matt LLCGroup PAC ID 6800297524, 7 clinicians

Practice addresses (Care Compare)

10220 S Dolfield Rd
Suite 106
Owings Mills, MD 21117-3660
Phone (443) 559-4137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R186758MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aboard LLC Current Accepting new patients
MD Matt LLC CurrentSince Sep 16, 2024 Accepting new patients
MD Matt LLC Family CurrentSince Sep 16, 2024 Accepting new patients
MD Matt LLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 29, 2022 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

1050 Northpoint Rd
Ste 203
Baltimore, MD 21224
Phone (443) 559-4137

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

309 E Patrick St
Frederick, MD 21701
Phone (240) 310-9962

10220 S Dolfield Rd
Ste 106
Owings Mills, MD 21117
Phone (443) 559-4137

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1841850419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 260",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294848",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4107 Callaway Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212156113",
            "country_code": "US",
            "telephone_number": "443-213-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 N Rolling Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284142",
            "country_code": "US",
            "telephone_number": "410-999-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MAISHA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R186758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAISHA",
            "last_name": "ATTAHIRU",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.