Individual provider Active NPI

Whitley Shanel Neal, CRNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1902548555
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R229184 Issued in MD
Practice address
11921 Rockville Pike Ste 400
Rockville, MD 20852-2757
Phone
(301) 414-2300
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R229184 MD Primary

Addresses

Primary practice location

11921 Rockville Pike Ste 400
Rockville, MD 20852-2757

Mailing address

7530 Hearthside Way Unit 145
Elkridge, MD 21075-7239
Phone (323) 861-2022

Other practice location 1

555 Quince Orchard Rd Ste 410
Gaithersburg, MD 20878-1479
Phone (301) 414-2300

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
I20230222002039 MD Practitioner - Nurse Practitioner 3274906219 Reassigns benefits to 1 organization
I20230222002259 DC Practitioner - Nurse Practitioner 3274906219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic, IncGroup PAC ID 6204722614, 33 clinicians

Practice addresses (Care Compare)

7676 New Hampshire Ave
Takoma Park, MD 20912-7514
Phone (301) 431-2972

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R229184MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simmonds, Martin & Helmbrecht, LLC CurrentSince Nov 11, 2022 Accepting new patients
Community Clinic, Inc. CurrentSince May 17, 2024 Accepting new patients
Community Clinic, Inc CurrentSince May 17, 2024 Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

220 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

11921 Rockville Pike
Ste 400
Rockville, MD 20852
Phone (240) 514-0140

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1902548555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 HEARTHSIDE WAY UNIT 145",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757239",
            "telephone_number": "323-861-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 ROCKVILLE PIKE STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522757",
            "telephone_number": "301-414-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Quince Orchard Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781479",
            "country_code": "US",
            "telephone_number": "301-414-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "WHITLEY",
        "middle_name": "SHANEL",
        "credential": "CRNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R229184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.