Lovelight Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LOVELIGHT PEDIATRICS, LLC

Practice address

607 Oakland Ave
Oakland, MD 21550-3734

Phone

(301) 533-7060

Fax

(877) 766-4406

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Sisler, MDNPI 1982963575

Title

Owner

Phone

(301) 533-7060

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lovelight Pediatrics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lovelight Pediatrics, LLC

  • Clinical Social Worker
  • Oakland, MD
  • NPI 1609407592
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lovelight Pediatrics, LLC

  • Clinical Social Worker
  • Oakland, MD
  • NPI 1609407592
  NPPES parent name

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.

• Stephanie Brook Sisler, M.D.

  • Pediatrics Physician
  • Oakland, MD
  • NPI 1982963575
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1386117562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215503734",
            "telephone_number": "301-533-7060",
            "fax_number": "877-766-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215503734",
            "telephone_number": "301-533-7060",
            "fax_number": "877-766-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELIGHT PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "SISLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-533-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "641018900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Leone, LCPC, LCPAT, ATR-BC
• Kaylee Rebecca Livengood, CRNP
• Shawn E Long, M.D.
• Timothy Shelton Longest, D.D.S.
• Lotus Grove Counseling
• Lovelight Pediatrics, LLC
• Haley Dawn Lowdermilk, D.C.
• Lukas Behavioral Health LLC
• Melanie Lyles-Williams, LCSW-C
• Shakena Lasheba Mabry, LCSW-C, LCSW, LICSW

• Pediatrics Physician in Oakland, MD
• Providers in Oakland, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.