Organization Active NPI

Jump Into Action Health and Wellness LLC

  • Community/Behavioral Health Agency
  • Waldorf, MD
National Provider Identifier
1417806522
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JUMP INTO ACTION HEALTH AND WELLNESS LLC
Practice address
3261 Old Washington Rd Ste 2020-R
Waldorf, MD 20602-3223
Phone
(410) 707-9310
NPI assigned
Jan 23, 2026
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Tyjia NanceNPI 1326997438
Title
Owner
Phone
(410) 707-9310

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3261 Old Washington Rd Ste 2020-R
Waldorf, MD 20602-3223

Mailing address

3261 Old Washington Rd Ste 2020-R
Waldorf, MD 20602-3223

National Provider Directory

National Provider Directory

Locations

3261 Old Washington Rd
Ste 2020R
Waldorf, MD 20602
Phone (410) 622-5066

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": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1417806522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 2020-R",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 2020-R",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023223",
            "telephone_number": "410-707-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP INTO ACTION HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "TYJIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-707-9310"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.