Organization Active NPI

Self Indulgent Luxe: Health & Wellness

  • Primary Care Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1356270300
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
SELF INDULGENT LUXE: HEALTH & WELLNESS
Practice address
4410 74TH Ave
Hyattsville, MD 20784-2222
Phone
(240) 988-8502
NPI assigned
May 15, 2026
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SELF INDULGENT LUXURY MEDISPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Janael Palmer, NPNPI 1073290854
Title
Director
Phone
(240) 906-9462

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

4410 74TH Ave
Hyattsville, MD 20784-2222

Mailing address

11002 Atwell Ave
Bowie, MD 20720-3573
Phone (240) 906-9462

National Provider Directory

National Provider Directory
Part of
Self Indulgent Luxe Health Wellness

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": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1356270300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 ATWELL AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203573",
            "telephone_number": "240-906-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 74TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842222",
            "telephone_number": "240-988-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF INDULGENT LUXE: HEALTH & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELF INDULGENT LUXURY MEDISPA",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JANAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-906-9462",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.