Exclusively Health & Wellness, Inc.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

EXCLUSIVELY HEALTH & WELLNESS, INC.

Practice address

2 Crain Hwy S # 2B
Glen Burnie, MD 21061-3526

Phone

(443) 410-3570

Fax

(410) 655-4439

NPI assigned

Jun 21, 2019

Last updated

Jun 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Crystal Greene, DNP CRNPNPI 1689184947

Title

Director

Phone

(443) 865-6665

Specialties & licenses 1

Addresses

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.

• Crystal Greene, DNP CRNP

  • Adult Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1689184947
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1275194144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8632 WINDMILL RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334445",
            "telephone_number": "443-865-6665",
            "fax_number": "410-655-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CRAIN HWY S # 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613526",
            "telephone_number": "443-410-3570",
            "fax_number": "410-655-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVELY HEALTH & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-865-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolve Residential LLC
• Evolve Residential LLC
• Evolve Residential, LLC
• Evolve Residential, LLC
• Evolve Residential, LLC
• Jacques Philippe Exposito, DDS
• Elizabeth Okwuni Ezeamaka, NP
• Nnenna Ezeocha
• Mofeoluwa Fagbemi, LCSW-C
• Asghar Ali Fakhri, M.D.

• Primary Care Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.