Shailoah Wilson, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R230139 Issued in MD

Practice address

135 N Parke St
Aberdeen, MD 21001-2428

Phone

(443) 625-1600

NPI assigned

May 5, 2017

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Key Point Health Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Aberdeen, MD
  • NPI 1497760847
  Medicare reassignment NPD
• Rooted and Grounded Wellness Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
  • NPI 1568225001
  NPD Authorized official
• Key Point Health Services, Inc

  • Adult Mental Health Clinic/Center
  • Towson, MD
  • NPI 1619302593
  NPD

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1992231237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N PARKE ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012428",
            "telephone_number": "443-625-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARKE ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012428",
            "telephone_number": "443-625-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Solomon Rd Apt B",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229012419",
            "country_code": "US",
            "telephone_number": "434-409-4212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHAILOAH",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Whitehead
• Christina Willasch, LPHT
• Kevin Williams
• Lakisha Lilly Williams
• Willpower Enterprises
• Winners Choice Healthcare Services, LLC
• Winners Choice Healthcare Services, LLC
• Winners' Choice Healthcare Services, LLC
• Lauren Nicole Winters, M.S. CCC-SLP
• Wisdom Health Care Services

• Psychiatric/Mental Health Nurse Practitioner in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.

Verify at the official NPI Registry.