Active NPI
Envision Health and Wellness
- Family Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1336764729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ENVISION HEALTH AND WELLNESS
- Practice address
- 9712 Belair Rd Ste 301
Baltimore, MD 21236-1113 - Phone
- (443) 883-1826
- NPI assigned
- Jun 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christie Simon-Waterman, DNP, CRNP
- Title
- Owner/ Ceo
- Phone
- (443) 867-7471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9712 Belair Rd Ste 301
Baltimore, MD 21236-1113
Mailing address
8840 Belair Rd
Baltimore, MD 21236-2401
Phone (443) 883-1826
National Provider Directory
National Provider DirectoryLocations
7412 Belair Rd Ste 301
Nottingham, MD 21236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1336764729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 BELAIR RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212362401",
"telephone_number": "443-883-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 BELAIR RD STE 301",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212361113",
"telephone_number": "443-883-1826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "SIMON-WATERMAN",
"authorized_official_first_name": "CHRISTIE",
"authorized_official_title_or_position": "OWNER/ CEO",
"authorized_official_telephone_number": "443-867-7471",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DNP, CRNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.