Shore Integrative Health

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SHORE INTEGRATIVE HEALTH

Practice address

508 Idlewild Ave Ste 5
Easton, MD 21601-3834

Phone

(443) 339-9713

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Kristin Marie Tallent, PHARMD

Title

Pharmacist/Owner

Phone

(412) 523-3402

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Kristin Marie Denne, PHARMD

  • Pharmacist
  • Stevensville, MD
  • NPI 1710312830
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1144945221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018924",
            "telephone_number": "443-339-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 IDLEWILD AVE STE 5",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013834",
            "telephone_number": "443-339-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "TALLENT",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "412-523-3402",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10112022",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shore Health System, Inc.
• Shore Health System, Inc.
• Shore Health System, Inc.
• Shore Home Care Physician Services
• Shore Hospitalists Associates P.a.
• Shore Neurocognitive Health LLC
• Shore Orthopedics Inc
• Shore Orthopedics, Inc
• Shore Orthopedics, Inc.
• Shore Psychiatric Associates, LLC

• All providers in Easton, MD
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.