Organization Active NPI

Mountainview Wellness Center LLC

  • Physician Assistant
  • Lavale, MD
National Provider Identifier
1316768195
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
MOUNTAINVIEW WELLNESS CENTER LLC
Practice address
1223 National Hwy
Lavale, MD 21502-7602
Phone
(304) 276-0735
Fax
(240) 293-4796
NPI assigned
Oct 23, 2024
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Sharon Titchnell, PA-CNPI 1407137706
Title
PA-C
Phone
(304) 276-0735

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
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1223 National Hwy
Lavale, MD 21502-7602

Mailing address

1223 National Hwy
Lavale, MD 21502-7602
Phone (304) 276-0735

National Provider Directory

National Provider Directory

Locations

1223 National Hwy
Lavale, MD 21502
Phone (304) 276-0735

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": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1316768195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027602",
            "telephone_number": "304-276-0735",
            "fax_number": "240-293-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027602",
            "telephone_number": "304-276-0735",
            "fax_number": "240-293-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVIEW WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "TITCHNELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "304-276-0735",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.