Organization Active NPI

Epec Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1245983352
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EPEC CLINIC LLC
Practice address
9106 Philadelphia Rd Ste 106
Rosedale, MD 21237-4335
Phone
(443) 559-8354
NPI assigned
Jan 28, 2022
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Lekeya Hutton, CRNP
Title
Owner
Phone
(443) 924-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9106 Philadelphia Rd Ste 106
Rosedale, MD 21237-4335

Mailing address

9106 Philadelphia Rd Ste 106
Rosedale, MD 21237-4335
Phone (443) 559-8354

Other identifiers 1

IdentifierTypeStateIssuer
152013000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Epec Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1245983352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 106",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "443-559-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 106",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "443-559-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPEC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "LEKEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-924-5945",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152013000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.