Organization Active NPI

Wellsviewcare LLC

  • Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1104492073
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WELLSVIEWCARE LLC
Practice address
613 Ridgely Ave
Annapolis, MD 21401-1069
Phone
(410) 266-5608
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Katherine K R Mahood, MAC / LACNPI 1346531183
Title
Acupuncturist
Phone
(410) 266-5608

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

613 Ridgely Ave
Annapolis, MD 21401-1069

Mailing address

611 Ridgely Avenue
Wellsview Cottage Center
Annapolis, MD 21401
Phone (410) 353-3003

Other practice location 1

645 Baltimore Annapolis Blvd
Severna Park, MD 21146-3931
Phone (410) 266-5608

Other practice location 2

611 Ridgely Ave
Annapolis, MD 21401-1069
Phone (410) 266-5608

Other identifiers 2

IdentifierTypeStateIssuer
1346531183OtherMDLAC
1134378334OtherMDCRNP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Janeapp.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

645 Baltimore Annapolis Blvd
Severna Park, MD 21146
Phone (410) 266-5608

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1104492073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 RIDGELY AVENUE",
            "address_2": "WELLSVIEW COTTAGE CENTER",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-353-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011069",
            "telephone_number": "410-266-5608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Baltimore Annapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211463931",
            "country_code": "US",
            "telephone_number": "410-266-5608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Ridgely Ave",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011069",
            "country_code": "US",
            "telephone_number": "410-266-5608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSVIEWCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MAHOOD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "K R",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "410-266-5608",
        "authorized_official_credential": "MAC / LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAC",
            "identifier": "1346531183",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "1134378334",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Janeapp.com",
            "affiliation": "N",
            "endpointDescription": "Janeapp.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "613 Ridgely Ave",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214011069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.