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HEADWATERS RESTORATION THERAPY LLC
NPI 1154197283
Nurse Practitioner in Oakland, MD

Active since November 29, 2023
14689 GARRETT HWY STE 3, OAKLAND, MD 21550(301) 859-7178(240) 270-5229 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Jan 4, 2026 (2 updates tracked since 2026).

About Headwaters Restoration Therapy Llc NPPES

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

HEADWATERS RESTORATION THERAPY LLC (NPI 1154197283) is a healthcare organization registered as a nurse practitioner in Oakland, Maryland and active in the NPI registry since November 2023. The organization lists Taylor Ryan Crabtree, Provider, as its authorized official.

NPPES Registry Identity

NPI1154197283
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHEADWATERS RESTORATION THERAPY LLC
Location Address14689 GARRETT HWY STE 3Oakland, MD 21550-4059
Mailing Address14689 Garrett HwyOakland, MD 21550-4059 · (301) 859-7178 · Fax (240) 270-5229
Phone(301) 859-7178
Fax(240) 270-5229
Organization SubpartNo
Authorized OfficialTaylor Ryan CrabtreeProvider · (304) 777-7467
Enumeration DateNovember 29, 2023
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1154197283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
14689 GARRETT HWY STE 3, Oakland, MD 21550
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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

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.

JESSICA NICHOLE MEYERS CRNP
Nurse Practitioner (Family)
14689 GARRETT HWY STE 3
OAKLAND, MD 21550
Garrett County (301) 859-7178
MR. TAYLOR RYAN CRABTREE CRNP
Nurse Practitioner (Family)
14689 GARRETT HWY STE 3
OAKLAND, MD 21550
Garrett County (301) 859-7178
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
Nurse Practitioner (Family)
14689 GARRETT HWY STE 3
OAKLAND, MD 21550
Garrett County (301) 859-7178

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 Headwaters Restoration Therapy LLC's NPI number?

The NPI number for Headwaters Restoration Therapy LLC is 1154197283. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Headwaters Restoration Therapy LLC located?

Headwaters Restoration Therapy LLC is located at 14689 Garrett Hwy Ste 3, Oakland, MD 21550. The listed phone number is (301) 859-7178.

What is Headwaters Restoration Therapy LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Headwaters Restoration Therapy LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.