Organization Active NPI

Sunflower Health & Wellness Consultants

  • Health Service Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1437567484
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
R151109 Issued in MD
Legal business name
SUNFLOWER HEALTH & WELLNESS CONSULTANTS
Practice address
483 N Frederick Ave
Suite 320
Gaithersburg, MD 20877-2545
Phone
(240) 631-0200
Fax
(240) 631-0300
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Mrs. Brenda L Stephens, CRNPNPI 1346453586
Title
Owner
Phone
(301) 219-7921

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
Health Service Clinic/Center 261QH0100X R151109 MD Primary

Addresses

Primary practice location

483 N Frederick Ave
Suite 320
Gaithersburg, MD 20877-2545

Mailing address

438 N Frederick Ave Ste 320
Gaithersburg, MD 20877-2458
Phone (240) 631-0200

Other identifiers 1

IdentifierTypeStateIssuer
541245500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141204000996 DC Part B Supplier - Clinic/Group Practice 7113249046 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

483 N Frederick Ave
Ste 320
Gaithersburg, MD 20877
Phone (240) 631-0200

438 N Frederick Ave
Ste 320
Gaithersburg, MD 20877
Phone (240) 631-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1437567484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 N FREDERICK AVE STE 320",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772458",
            "telephone_number": "240-631-0200",
            "fax_number": "240-631-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N FREDERICK AVE",
            "address_2": "SUITE 320",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772545",
            "telephone_number": "240-631-0200",
            "fax_number": "240-631-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER HEALTH & WELLNESS CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-219-7921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "R151109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541245500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.