Organization Active NPI

Epec Clinic LLC

  • Family Medicine Physician
  • Rosedale, MD
National Provider Identifier
1316578917
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EPEC CLINIC LLC
Practice address
9106 Philadelphia Rd Ste 106
Rosedale, MD 21237-4335
Phone
(443) 559-8354
NPI assigned
Feb 1, 2020
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
Mrs. Lekeya Hutton, CRNP
Title
Owner
Phone
(443) 559-8354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200324000635 MD Part B Supplier - Clinic/Group Practice 9638507783 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

9110 Philadelphia Rd
Ste 210
Rosedale, MD 21237
Phone (410) 391-3003

9106 Philadelphia Rd
Ste 106
Rosedale, MD 21237
Phone (410) 638-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1316578917",
    "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": "2020-02-01",
        "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": "443-559-8354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.