Active NPI
Atlas Health, LLC
Doing business as CloseKnit
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1548839012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ATLAS HEALTH, LLC
- Doing business as
- CloseKnit
- Practice address
- 1501 S Clinton St
Baltimore, MD 21224-5730 - Phone
- (410) 528-7109
- NPI assigned
- Jun 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Jane Favazza
- Title
- Ceo
- Phone
- (410) 528-7109
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
1501 S Clinton St
Baltimore, MD 21224-5730
Mailing address
1501 S Clinton St
Baltimore, MD 21224-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TBD | Other | TBD |
Other names 1
- CloseKnit
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TBD | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Atlas Health LLC
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1101 K St NW
#10
Washington, DC 20005
1 Post Office Sq
Boston, MA 02109
Phone (917) 241-4414
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1255374310
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1962589432
-
- Family Nurse Practitioner
- Odenton, MD
- NPI 1245502889
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1215307681
-
- Family Nurse Practitioner
- Alexandria, VA
- NPI 1063735744
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1396144457
-
- Nurse Practitioner
- Nantucket, MA
- NPI 1649757360
-
- Internal Medicine Physician
- New York, NY
- NPI 1144660754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1548839012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S CLINTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S CLINTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245730",
"telephone_number": "410-528-7109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-21",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "FAVAZZA",
"authorized_official_first_name": "MARY JANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-528-7109"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TBD",
"identifier": "TBD",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TBD",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "TBD",
"address_1": "1501 S Clinton St",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212245730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "CloseKnit",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Baltimore, MD
- Atlas Health LLC (Closeknit - MedAdv)
- Atlas Health, LLC (CloseKnit)
- Atlas Health, LLC (CloseKnit - BH2)
- Atlas Health, LLC (CloseKnit (BH))
- Atlas Health, LLC (CloseKnit)
- Atlas Health, LLC (CloseKnit)
- Atlas Home Health Consulting, LLC (Atlas Care Connect)
- Atlas Resources Inc
- Robert O Atlas, MD
- Keisha Atlee, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.