Active NPI
Creative Healing LLC
- Family Nurse Practitioner
- Timonium, MD
National Provider Identifier
1093592966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CREATIVE HEALING LLC
- Practice address
- 1927 York Rd
Timonium, MD 21093-4225 - Phone
- (443) 681-9893
- NPI assigned
- Sep 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Lindo, NP
- Title
- Ceo
- Phone
- (443) 681-9893
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1927 York Rd
Timonium, MD 21093-4225
Mailing address
1927 York Rd
Lutherville Timonium, MD 21093-4225
Phone (443) 681-9893
National Provider Directory
National Provider DirectoryLocations
1927 York Rd
Timonium, MD 21093
Phone (410) 321-0808
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1093592966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1927 YORK RD",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210934225",
"telephone_number": "443-681-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 YORK RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210934225",
"telephone_number": "443-681-9893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "LINDO",
"authorized_official_first_name": "COLLEEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-681-9893",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.