Organization Active NPI

Holy Clinic, LLC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1598508335
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOLY CLINIC, LLC
Practice address
6018 Harford Rd
Baltimore, MD 21214-1327
Phone
(443) 559-7259
Fax
(410) 401-8110
NPI assigned
Jun 18, 2024
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Doris Dickson, FNPNPI 1770179913
Title
Owner
Phone
(443) 559-7259

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
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

6018 Harford Rd
Baltimore, MD 21214-1327

Mailing address

6018 Harford Rd
Baltimore, MD 21214-1327
Phone (443) 559-7259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250925001547 MD Part B Supplier - Clinic/Group Practice 9931604402 Receives reassigned benefits from 1 practitioner
Practice locations: Rosedale, MD

National Provider Directory

National Provider Directory
Tax ID family
Holy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6018 Harford Rd
Baltimore, MD 21214
Phone (443) 570-2706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1598508335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141327",
            "telephone_number": "443-559-7259",
            "fax_number": "410-401-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141327",
            "telephone_number": "443-559-7259",
            "fax_number": "410-401-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-559-7259",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "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 Feb 4, 2026; 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.

Verify at the official NPI Registry.