NPIMap

Organization Active NPI

Encompass Integrative Wellness, LLC

  • Nutritionist
  • Frederick, MD
National Provider Identifier
1316511298
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
ENCOMPASS INTEGRATIVE WELLNESS, LLC
Practice address
5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344
Phone
(301) 874-2957
Fax
(240) 222-1271
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Mrs. Christina Brockett, MS, CNS, LDNNPI 1891223426
Title
Owner
Phone
(301) 748-9780

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

5100 Buckeystown Pike Ste 250
Frederick, MD 21704-8344

Mailing address

5718 Nottingham PL
Adamstown, MD 21710-9473
Phone (301) 748-9780

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://eiwellness.practicebetter.io/#/signin Other

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1316511298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 NOTTINGHAM PL",
            "city": "ADAMSTOWN",
            "state": "MD",
            "postal_code": "217109473",
            "telephone_number": "301-748-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BUCKEYSTOWN PIKE STE 250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048344",
            "telephone_number": "301-874-2957",
            "fax_number": "240-222-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "BROCKETT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-748-9780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://eiwellness.practicebetter.io/#/signin",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "5100 Buckeystown Pike Ste 250",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217048344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.