Individual provider Active NPI

Sherry Haywood

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville, MD
National Provider Identifier
1992452387
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R120652 Issued in MD
Practice address
1301 York Rd
Lutherville, MD 21093-6035
Phone
(443) 442-4818
Fax
(410) 650-9053
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R120652 MD Primary

Addresses

Primary practice location

1301 York Rd
Lutherville, MD 21093-6035

Mailing address

248 Glenda CT
Millersville, MD 21108-1024
Phone (410) 206-1291

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
I20221110003199 MD Practitioner - Nurse Practitioner 3476920059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advantage Psychiatric Services LLC 11 clinicians

Practice addresses (Care Compare)

493 Main St
Prince Frederick, MD 20678-3186
Phone 4106863629601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Psychiatric Services LLC CurrentSince Nov 28, 2022 Accepting new patients
Advantage Psychiatric Services LLC Single Specialty Current Accepting new patients
Advantage Psychiatric Services LLC CurrentSince Nov 28, 2022 Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients

Locations

306 W Pulaski Hwy
Elkton, MD 21921
Phone 4106863629 ext. 417

910 Revolution St
Hvre de Grace, MD 21078
Phone (410) 919-9665

5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110

493 Main St
Prince Frederick, MD 20678
Phone 4106863629601

493 Main St
Ste 101
Prince Frederick, MD 20678

Organizations & group practices 5

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1992452387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 GLENDA CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081024",
            "telephone_number": "410-206-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936035",
            "telephone_number": "443-442-4818",
            "fax_number": "410-650-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "SHERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R120652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.