Promethean Healthcare, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PROMETHEAN HEALTHCARE, LLC

Practice address

6609 Fairmount Ave
Baltimore, MD 21215-1906

Phone

(917) 861-2531

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Kisun Peters-Diaz

Title

Founder / Owner

Phone

(917) 861-2531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1639005267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MIDLAND AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 FAIRMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151906",
            "telephone_number": "917-861-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMETHEAN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "PETERS-DIAZ",
        "authorized_official_first_name": "KISUN",
        "authorized_official_title_or_position": "FOUNDER / OWNER",
        "authorized_official_telephone_number": "917-861-2531"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Plase, Inc.
• Robert Allan Prokop Jr., MAC, CH
• Gregory Paul Prokopowicz, M.D.
• Prolific Health Programs, LLC
• Prolific Health Programs, LLC
• Promise Counseling Services LLC
• Promises Kept, a Development Corporation
• Henry Pronovost, MD
• Peter John Pronovost, M.D.
• Victoria Prosceno

• Primary Care Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.