Organization Active NPI

Beyond Well Woman & Associates, LLC

  • Women's Health Nurse Practitioner
  • Huntingtown, MD
National Provider Identifier
1992311013
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
BEYOND WELL WOMAN & ASSOCIATES, LLC
Practice address
2551 Solomons Island Rd
Huntingtown, MD 20639-8734
Phone
(434) 968-2315
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Authorized official

Name
Ms. Susana C Bradbury, MSN, WHNP-BCNPI 1629520564
Title
Nurse Practitioner
Phone
(443) 624-5191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

2551 Solomons Island Rd
Huntingtown, MD 20639-8734

Mailing address

2551 Solomons Island Rd
Huntingtown, MD 20639-8734
Phone (443) 968-2315

Other identifiers 1

IdentifierTypeStateIssuer
W20918868OtherMDSTATE OF MARYLAND ARTICLE OF ORGANIZATION

Other names 3

  • Beyond Well Woman Doing business as
  • Hydration Beyond H2O Doing business as
  • Mas Alla Mujer Doing business as

National Provider Directory

National Provider Directory

Locations

136 W Dares Beach Rd
Prince Frederick, MD 20678

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23745/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699660800000",
    "number": "1992311013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 SOLOMONS ISLAND RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398734",
            "telephone_number": "443-968-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 SOLOMONS ISLAND RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398734",
            "telephone_number": "434-968-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND WELL WOMAN & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-624-5191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND ARTICLE OF ORGANIZATION",
            "identifier": "W20918868",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Well Woman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hydration Beyond H2O",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mas Alla Mujer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.