NPIMap

Organization Active NPI

Empowered Health Inc

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1205490125
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EMPOWERED HEALTH INC
Practice address
6801 Belair Rd
Baltimore, MD 21206-1121
Phone
(410) 655-3000
Fax
(855) 714-2796
NPI assigned
Apr 25, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
N/AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Creola E LevyNPI 1821449083
Title
Owner
Phone
(443) 221-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

6801 Belair Rd
Baltimore, MD 21206-1121

Mailing address

PO Box 11305
Baltimore, MD 21239-0305
Phone (410) 655-3000

Other identifiers 1

IdentifierTypeStateIssuer
1952800237MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Empowered Health Inc3 organizations share this tax ID, including this one
Part of
Empowered Health Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1205490125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212390305",
            "telephone_number": "410-655-3000",
            "fax_number": "855-714-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061121",
            "telephone_number": "410-655-3000",
            "fax_number": "855-714-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N/A",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "CREOLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-221-0566"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952800237",
            "state": "MD"
        }
    ],
    "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 Apr 25, 2019; 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.