Portal Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PORTAL HEALTH LLC

Practice address

7939 Honeygo Blvd Ste 208
Baltimore, MD 21236-5992

Phone

(410) 961-0844

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Zelbesa Mack, CRNPNPI 1558749267

Title

Nurse Practitioner

Phone

(410) 961-0844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Zelbesa Vailiida Dakue Mack, CRNP

  • Adult Health Nurse Practitioner
  • Timonium, MD
  • NPI 1558749267
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1538964374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HADDINGTON RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935719",
            "telephone_number": "410-961-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD STE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365992",
            "telephone_number": "410-961-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "ZELBESA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-961-0844",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ayanna Porter

• Health Service Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Health Service Clinic/Center in Maryland

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