NPIMap

Organization Active NPI

Prime Light Health Services

  • Speech-Language Pathologist
  • Edgewood, MD
National Provider Identifier
1609755578
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PRIME LIGHT HEALTH SERVICES
Practice address
1319 Woodbridge Station Way Ste 101
Edgewood, MD 21040-3852
Phone
(443) 857-7475
NPI assigned
Aug 27, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Shakirat Olabisi AroworowonNPI 1205467768
Title
Owner
Phone
(443) 857-7475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1319 Woodbridge Station Way Ste 101
Edgewood, MD 21040-3852

Mailing address

1319 Woodbridge Station Way Ste 101
Edgewood, MD 21040-3852
Phone (443) 857-7475

National Provider Directory

National Provider Directory
Tax ID family
Prime Light Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1319 Woodbridge Station Way
Ste 101
Edgewood, MD 21040
Phone (443) 857-7475

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": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1609755578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 WOODBRIDGE STATION WAY STE 101",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403852",
            "telephone_number": "443-857-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 WOODBRIDGE STATION WAY STE 101",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403852",
            "telephone_number": "443-857-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LIGHT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "AROWOROWON",
        "authorized_official_first_name": "SHAKIRAT",
        "authorized_official_middle_name": "OLABISI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-857-7475"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.