Active NPI
Sherry Haywood
- Psychiatric/Mental Health Nurse Practitioner
- Lutherville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R120652
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Psychiatric Services LLC | Current | Accepting new patients | |
| Advantage Psychiatric Services LLC | Single Specialty | Current | Accepting new patients |
| Advantage Psychiatric Services LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1548742554
MD, Single Specialty
-
- Community/Behavioral Health Agency
- Nottingham, MD
- NPI 1518573427
-
- Clinic/Center
- Havre de Grace, MD
- NPI 1700515236
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Annapolis, MD
- NPI 1538732086
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prince Frederick, MD
- NPI 1740874296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.