Organization Active NPI

Envision Health and Wellness

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1336764729
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Mar 17, 2025

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.