Well Life

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WELL LIFE

Practice address

4709 Harford Rd # 187
Baltimore, MD 21214-3261

Phone

(443) 840-9626

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Watkins, CRNP PMHNP-BCNPI 1831841386

Title

Ceo

Phone

(443) 939-5654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• Ashley Watkins, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1831841386
  Medicare reassignment NPD Authorized official
• Sheila Denise Walker, FNP-C

  • Family Nurse Practitioner
  • Belcamp, MD
  • NPI 1548778533

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1053016121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 PENTWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212394036",
            "telephone_number": "443-939-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 HARFORD RD # 187",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143261",
            "telephone_number": "443-840-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-939-5654",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lee Weldon Jr.
• Timothy Christopher Welk, LMSW
• Mary Elizabeth Welkos, LCPC
• Well Acupunture Inc
• Well Being Counseling & Whole Health, LLC
• Well of Hope Mental Health Services
• Well Within Counseling, LLC
• Well-Being in Practice LLC
• Jennine Hess Dearolf Weller
• Lindsay Weller, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.