Active NPI
Celicia Williams Little, CRNP
- Pediatric Nurse Practitioner
- Clinton, MD
National Provider Identifier
1871858464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R216132
- Practice address
- 9015 Woodyard Rd Ste 111
Clinton, MD 20735-4226 - Phone
- (301) 599-0900
- Fax
- (301) 599-7828
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9267954 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | R216132 | MD | Primary |
| Registered Nurse | 163W00000X | R216132 | MD |
Addresses
Primary practice location
9015 Woodyard Rd Ste 111
Clinton, MD 20735-4226
Mailing address
PO Box 744787
Atlanta, GA 30374-4787
Phone (301) 572-8734
Other practice location 1
600 N Wolfe St
CMSC 2-2116
Baltimore, MD 21287-0005
Phone (410) 955-8769
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9267954 | FL | MD | Registered Nurse |
| R216132 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
600 N Wolfe St
#22116
Baltimore, MD 21287
Phone (410) 955-8769
Organizations & group practices 4
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.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1871858464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744787",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744787",
"telephone_number": "301-572-8734",
"fax_number": "301-681-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9015 WOODYARD RD STE 111",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354226",
"telephone_number": "301-599-0900",
"fax_number": "301-599-7828"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_2": "CMSC 2-2116",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870005",
"country_code": "US",
"telephone_number": "410-955-8769",
"fax_number": "410-955-1464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE",
"first_name": "CELICIA",
"middle_name": "WILLIAMS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9267954",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R216132",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R216132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.