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WHITE PLAINS PRIMARY CARE
NPI 1033718762
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Active since October 23, 2020CLIA 21D2067878 · Waiver
50 POST OFFICE RD STE 304, WALDORF, MD 20602(240) 349-2448(240) 349-2243 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Plains Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE PLAINS PRIMARY CARE (NPI 1033718762) is a healthcare organization registered as a psychiatric/mental health in Waldorf, Maryland and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Donna R Knott, Partner, as its authorized official.

NPPES Registry Identity

NPI1033718762
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWHITE PLAINS PRIMARY CARE
Location Address50 POST OFFICE RD STE 304Waldorf, MD 20602-3704
Mailing Address50 Post Office Rd Ste 304Waldorf, MD 20602-3704 · (240) 349-2448 · Fax (240) 349-2243
Phone(240) 349-2448
Fax(240) 349-2243
Organization SubpartYes
Authorized OfficialDonna R KnottPartner · (240) 417-6424
Enumeration DateOctober 23, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1033718762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
50 POST OFFICE RD STE 304, Waldorf, MD 20602
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2067878

White Plains Primary Care · Waldorf, MD
Active · expires Oct 23, 2027
CLIA Number21D2067878
Laboratory TypePractitioner Other
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorJennifer Mcmanus Crnp
Laboratory Phone(240) 349-2448
Laboratory LocationWhite Plains Primary Care50 Post Office Road Ste 304, Waldorf, MD 20602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITE PLAINS PRIMARY CARE
Registered Nurse (Addiction (Substance Use Disorder))
50 POST OFFICE RD STE 304
WALDORF, MD 20602
Charles County (240) 349-2448
FREE STATE PODIATRY
Podiatrist (Foot & Ankle Surgery)
50 POST OFFICE RD STE 304
WALDORF, MD 20602
Charles County (202) 258-4692
JENNIFER L MCMANUS C.R.N.P
Nurse Practitioner (Family)
50 POST OFFICE RD STE 304
WALDORF, MD 20602
Charles County (301) 349-2448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Plains Primary Care's NPI number?

The NPI number for White Plains Primary Care is 1033718762. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is White Plains Primary Care located?

White Plains Primary Care is located at 50 Post Office Rd Ste 304, Waldorf, MD 20602. The listed phone number is (240) 349-2448.

What is White Plains Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does White Plains Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2067878) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White Plains Primary Care was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.