Active NPI
Neighborhood Wellness, LLC
- Primary Care Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1174954499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- NEIGHBORHOOD WELLNESS, LLC
- Practice address
- 2401 Liberty Heights Avenue
Mondawmin Mall, Space 4625
Baltimore, MD 21215-8086 - Phone
- (410) 365-7335
- Fax
- (410) 383-8959
- NPI assigned
- Dec 12, 2013
- 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
- Robert N. Elkins
- Title
- President
- Phone
- (410) 356-8836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
2401 Liberty Heights Avenue
Mondawmin Mall, Space 4625
Baltimore, MD 21215-8086
Mailing address
10451 Mill Run Circle
Suite 400
Owings Mills, MD 21117-5594
Phone (410) 356-8836
National Provider Directory
National Provider DirectoryLocations
2401 Liberty Heights Ave
Ste 4625
Baltimore, MD 21215
Phone (410) 365-7335
2401 Liberty Heights Ave
#4
Baltimore, MD 21215
Phone (443) 201-2111
Interoperability endpoints
- https://api.platform.athenahealth.com/8165/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386806400000",
"number": "1174954499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10451 MILL RUN CIRCLE",
"address_2": "SUITE 400",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175594",
"telephone_number": "410-356-8836",
"fax_number": "410-356-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 LIBERTY HEIGHTS AVENUE",
"address_2": "MONDAWMIN MALL, SPACE 4625",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212158086",
"telephone_number": "410-365-7335",
"fax_number": "410-383-8959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A",
"authorized_official_last_name": "ELKINS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-356-8836"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.