Organization Active NPI

Elevated Health & Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1326763335
Registry record updated Dec 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELEVATED HEALTH & WELLNESS, LLC
Practice address
19236 Meadow View Dr Ste 1
Hagerstown, MD 21742-2924
Phone
(301) 331-4135
Fax
(949) 404-6840
NPI assigned
Oct 11, 2022
Last updated
Dec 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2022

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

Authorized official

Name
Zachari Leazier, PMHNP-BCNPI 1639897994
Title
Pmhnp-NP / Owner
Phone
(301) 331-4135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

19236 Meadow View Dr Ste 1
Hagerstown, MD 21742-2924

Mailing address

19236 Meadow View Dr Ste 1
Hagerstown, MD 21742-2924
Phone (301) 331-4135

National Provider Directory

National Provider Directory

Locations

19236 Meadow View Dr
Ste 1
Hagerstown, MD 21742
Phone (240) 347-4937

Practitioners & affiliated clinicians

Practitioners 5

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": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671235200000",
    "number": "1326763335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19236 MEADOW VIEW DR STE 1",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422924",
            "telephone_number": "301-331-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19236 MEADOW VIEW DR STE 1",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422924",
            "telephone_number": "301-331-4135",
            "fax_number": "949-404-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A",
        "authorized_official_last_name": "LEAZIER",
        "authorized_official_first_name": "ZACHARI",
        "authorized_official_title_or_position": "PMHNP-NP / OWNER",
        "authorized_official_telephone_number": "301-331-4135",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.