Active NPI
Cristine Ehly, ND
- Naturopath
- Edgewater, MD
National Provider Identifier
1629510490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- J00028
- Practice address
- 3158 Braverton St Ste 104
Edgewater, MD 21037-2671 - Phone
- (443) 906-3934
- NPI assigned
- Nov 10, 2016
- Last updated
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | J00028 | MD | Primary |
Addresses
Primary practice location
3158 Braverton St Ste 104
Edgewater, MD 21037-2671
Mailing address
3158 Braverton St Ste 104
Edgewater, MD 21037-2671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J00028 | MD | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Natural Health Center, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Frederick Natural Health Center
- Health Service Clinic/Center
- Frederick, MD
- NPI 1457828675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1629510490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3158 BRAVERTON ST STE 104",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3158 BRAVERTON ST STE 104",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372671",
"telephone_number": "443-906-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHLY",
"first_name": "CRISTINE",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-10",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "MD",
"license": "J00028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.