NPIMap

Organization Active NPI

Atlantis Wellness

Doing business as Primary Care and Wellness

  • Primary Care Clinic/Center
  • Chevy Chase, MD
National Provider Identifier
1245654649
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R129024 Issued in MD
Legal business name
ATLANTIS WELLNESS
Doing business as
Primary Care and Wellness
Practice address
9213 Kensington Pkwy
Chevy Chase, MD 20815-6703
Phone
(301) 525-2013
Fax
(301) 960-4830
NPI assigned
Feb 6, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Ms. Karen Aspinwall Millett, CRNPNPI 1134378334
Title
CRNP/Owner
Phone
(301) 525-2013

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R129024 MD Primary

Addresses

Primary practice location

9213 Kensington Pkwy
Chevy Chase, MD 20815-6703

Mailing address

9213 Kensington Pkwy
Chevy Chase, MD 20815-6703
Phone (301) 525-2013

Other identifiers 1

IdentifierTypeStateIssuer
416242100MedicaidMD

Other names 1

  • Primary Care and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1245654649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 KENSINGTON PKWY",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156703",
            "telephone_number": "301-525-2013",
            "fax_number": "301-960-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213 KENSINGTON PKWY",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156703",
            "telephone_number": "301-525-2013",
            "fax_number": "301-960-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "MILLETT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ASPINWALL",
        "authorized_official_title_or_position": "CRNP/OWNER",
        "authorized_official_telephone_number": "301-525-2013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R129024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416242100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.