Organization Active NPI

Infinite Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1164156188
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INFINITE HEALTH & WELLNESS LLC
Practice address
100 Church LN # 204
Pikesville, MD 21208-3705
Phone
(443) 836-5793
Fax
(410) 847-2523
NPI assigned
Jul 14, 2022
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Ms. Keysha M JonesNPI 1326552647
Title
Owner
Phone
(443) 836-5793

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

100 Church LN # 204
Pikesville, MD 21208-3705

Mailing address

9722 Groffs Mill Dr # 819
Owings Mills, MD 21117-6341
Phone (443) 836-5793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221003001871 MD Part B Supplier - Clinic/Group Practice 3476939216 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Pikesville, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Church Ln
#204
Pikesville, MD 21208
Phone (443) 836-5793

Practitioners & affiliated clinicians

Practitioners 2

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": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1164156188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GROFFS MILL DR # 819",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176341",
            "telephone_number": "443-836-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH LN # 204",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083705",
            "telephone_number": "443-836-5793",
            "fax_number": "410-847-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEYSHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-836-5793",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.