Cambiare Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CAMBIARE HEALTH AND WELLNESS LLC

Practice address

1814 Bel Air Rd Ste 300
Fallston, MD 21047-2730

Phone

(410) 694-7411

Fax

(410) 694-7410

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Elizabeth Holmes, CRNP, PMHNPNPI 1992109805

Title

Owner

Phone

(410) 694-7411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Cambiare Health and Wellness LLC2 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.

• Cambiare Health and Wellness LLC

  • Primary Care Clinic/Center
  • Bel Air, MD
  • NPI 1114523495
  NPD tax ID

Locations

Practitioners 2

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.

• Jessica Elizabeth Holmes, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fallston, MD
  • NPI 1992109805
  Medicare reassignment Care Compare group NPD Authorized official
• Sheena Rose Johlitz, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fallston, MD
  • NPI 1629472527
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1609531904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BEL AIR RD STE 300",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472730",
            "telephone_number": "410-694-7411",
            "fax_number": "410-694-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BEL AIR RD STE 300",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472730",
            "telephone_number": "410-694-7411",
            "fax_number": "410-694-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBIARE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-694-7411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Bittner-Cassett, CPNP
• Michael Blondell, P.T., M.T.C.
• Howard H Bond, M.D.
• Thomas Francis Burke, M.D.
• Laura Christine Callahan, RN
• Carekinetics,LLC
• Diane Susan Cassilly, LCSWC
• Joseph Serranzana Castro, D.D.S.
• Lisa Chassagne, RN, IBCLC
• Chesapeake Pulmonary Associates, LLC (Thomas F Burke, MD)

• Psychiatric/Mental Health Nurse Practitioner in Fallston, MD
• Providers in Fallston, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.