NPIMap

Organization Active NPI

Envision Health and Wellness

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1467067066
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENVISION HEALTH AND WELLNESS
Practice address
9712 Belair Rd Ste 301
Baltimore, MD 21236-1113
Phone
(443) 354-1831
NPI assigned
Sep 10, 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
Christie Simon-Waterman, CRNPNPI 1558606343
Title
Owner
Phone
(410) 864-4438

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 Primary

Addresses

Primary practice location

9712 Belair Rd Ste 301
Baltimore, MD 21236-1113

Mailing address

5122 Crest Haven Way
Perry Hall, MD 21128-9793
Phone (443) 867-7471

National Provider Directory

National Provider Directory
Tax ID family
Envision Health and Wellness3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1467067066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 CREST HAVEN WAY",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289793",
            "telephone_number": "443-867-7471"
        },
        {
            "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": "443-354-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "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",
        "authorized_official_telephone_number": "410-864-4438",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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.