Organization Active NPI

Neighborhood Wellness, LLC

  • Primary Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1174954499
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Dec 12, 2013

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.