Individual provider Active NPI

Maureen Laura McAllister, BS, E-RYT 500, YACEP

  • Health & Wellness Coach
  • Clarksburg, MD
National Provider Identifier
1538812268
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
281894 Issued in MD
Practice address
23330 Frederick Rd FL 3
Clarksburg, MD 20871-9704
Phone
(301) 802-4993
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 281894 MD Primary

Addresses

Primary practice location

23330 Frederick Rd FL 3
Clarksburg, MD 20871-9704

Mailing address

15 Turkey Foot CT
Darnestown, MD 20878-3645
Phone (301) 802-4993

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmcallister@freshstartrecoverycenter.com Direct Fresh Start Recovery Center LLc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
281894MDMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1538812268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TURKEY FOOT CT",
            "city": "DARNESTOWN",
            "state": "MD",
            "postal_code": "208783645",
            "telephone_number": "301-802-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 FREDERICK RD FL 3",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719704",
            "telephone_number": "301-802-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "MAUREEN",
        "middle_name": "LAURA",
        "credential": "BS, E-RYT 500, YACEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MD",
            "license": "281894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcallister@freshstartrecoverycenter.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Fresh Start Recovery Center LLc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "15886 Gaither Dr Ste B",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208771404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.