Iflp Lives LLC

Primary specialty

Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X

Legal business name

IFLP LIVES LLC

Practice address

3311 Bateman Ave
Baltimore, MD 21216-1807

Phone

(410) 669-8083

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Theresa HarrisNPI 1518488139

Title

Owner

Phone

(410) 908-0063

Specialties & licenses 1

Addresses

Practitioners 1

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

• Theresa Harris

  • Professional Counselor
  • Baltimore, MD
  • NPI 1518488139
  NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1467089482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 BATEMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161807",
            "telephone_number": "410-669-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 BATEMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161807",
            "telephone_number": "410-669-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFLP LIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-908-0063"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Stephen Iding, M.D.
• Ahmed Idrees
• Cynthia Lynn Idzik-Starr, D.D.S.
• Shannon K Idzik, CRNP
• Genevieve Ifeanyichukwu, NP
• Elvine Zita Ndongmo Ifoue, RN
• Ruth Malka Ifrah, APRN, FNP-C
• Mustafa Iftikhar, MD
• Michelle M. a. Igbani, M.D.
• Adaobi E Igboanugo

• Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.