Organization Active NPI

Healthy Path, LLC

Doing business as Integrative Family Medicine

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1336705797
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTHY PATH, LLC
Doing business as
Integrative Family Medicine
Practice address
10630 Little Patuxent Pkwy Ste 210
Columbia, MD 21044-6204
Phone
(410) 730-1074
NPI assigned
May 11, 2019
Last updated
May 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2019

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

Authorized official

Name
Dr. Anahita Maryam Seyedan, DOM, LAC, MAC, MSNPI 1851819650
Title
Owner
Phone
(410) 730-1074

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
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy Ste 210
Columbia, MD 21044-6204

Mailing address

11445 Butterfruit Way
Ellicott City, MD 21042-1443
Phone (443) 926-3352

Other names 1

  • Integrative Family Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mdfamilyphysician.md-hq.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

10630 Little Patuxent Pkwy
Ste 210
Columbia, MD 21044
Phone (410) 730-1074

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": "1557532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557532800000",
    "number": "1336705797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 BUTTERFRUIT WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421443",
            "telephone_number": "443-926-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446204",
            "telephone_number": "410-730-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY PATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A",
        "authorized_official_last_name": "SEYEDAN",
        "authorized_official_first_name": "ANAHITA",
        "authorized_official_middle_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-730-1074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM, LAC, MAC, MS"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mdfamilyphysician.md-hq.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10630 Little Patuxent Pkwy Ste 210",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210446204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrative Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.