Guadalupe Center for Healing

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

W18924431 Issued in MD

Legal business name

GUADALUPE CENTER FOR HEALING

Practice address

1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545

Phone

(478) 250-7092

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Marjorie R Livingston, CRNPNPI 1740578343

Title

Owner

Phone

(478) 250-7092

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marjorie Ruth Livingston, CRNP

  • Family Nurse Practitioner
  • Eldersburg, MD
  • NPI 1740578343
  NPD Authorized official

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1144716192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 COLLIER CT",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211589449",
            "telephone_number": "478-250-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LIBERTY RD STE 105",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846545",
            "telephone_number": "478-250-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE CENTER FOR HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-250-7092",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "W18924431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lynn Golder, PT
• Jose E Gonzalez, M.D.
• Eryk Goode
• Louis M Gorman, D.D.S
• Brigitte Grewe, DO
• Larney R Gump, PH D
• Bernard Gyebi-Foster, LCPC
• Habakuk Inc
• Carrie Hagstrom, MS, BACB, LBA
• Pamela Hain-Koenigsburg, PHD

• Medical Specialty Clinic/Center in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.