Lovelight Pediatrics, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOVELIGHT PEDIATRICS, LLC

Practice address

607 Oakland Ave
Oakland, MD 21550-3734

Phone

(301) 533-7060

Fax

(877) 766-4406

NPI assigned

Jan 29, 2020

Organization subpart

Yes

Parent organization

LOVELIGHT PEDIATRICS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Stephanie Brook Sisler, MDNPI 1982963575

Title

Physician/Owner

Phone

(301) 533-7060

Specialties & licenses 1

Addresses

Tax ID family

Lovelight Pediatrics LLC2 organizations share this tax ID, including this one

Part of

Lovelight Pediatrics LLC

Other organizations with this tax ID 1

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

• Lovelight Pediatrics, LLC

  • Pediatrics Physician
  • Oakland, MD
  • NPI 1386117562
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lovelight Pediatrics, LLC

  • Pediatrics Physician
  • Oakland, MD
  • NPI 1386117562
  NPPES parent name

Practitioners 1

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

• Stephanie Brook Sisler, M.D.

  • Pediatrics Physician
  • Oakland, MD
  • NPI 1982963575
  NPD Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1609407592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215503734",
            "telephone_number": "301-533-7060",
            "fax_number": "877-766-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215503734",
            "telephone_number": "301-533-7060",
            "fax_number": "877-766-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELIGHT PEDIATRICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVELIGHT PEDIATRICS, LLC",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "SISLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "301-533-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Rebecca Livengood, CRNP
• Shawn E Long, M.D.
• Timothy Shelton Longest, D.D.S.
• Lotus Grove Counseling
• Lovelight Pediatrics, LLC
• Haley Dawn Lowdermilk, D.C.
• Lukas Behavioral Health LLC
• Melanie Lyles-Williams, LCSW-C
• Shakena Lasheba Mabry, LCSW-C, LCSW, LICSW
• Angela D Mack, LGPC, NCC

• Clinical Social Worker in Oakland, MD
• Providers in Oakland, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.