Lynxsure Wellness Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LYNXSURE WELLNESS CENTER LLC

Practice address

7323 Hanover Pkwy Ste a
Greenbelt, MD 20770-3617

Phone

(301) 477-3676

NPI assigned

Mar 8, 2021

Organization subpart

Yes

Parent organization

LYNXSURE WELLNESS CENTER LLCAs reported in NPPES

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

Authorized official

Name

Ms. Edirin Uwayzor

Title

Owner

Phone

(202) 253-5509

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lynxsure Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenbelt, MD
  • NPI 1609485929

  O20210105000208

  Same enrollment

Part of

Lynxsure Wellness Center

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.

• Lynxsure Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenbelt, MD
  • NPI 1609485929
  NPPES parent name

Practitioners 1

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

• Omemiyere Sheila Uwayzor

  • Family Nurse Practitioner
  • Greenbelt, MD
  • NPI 1922511799
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1649865064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 BELAIR RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703617",
            "telephone_number": "301-477-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNXSURE WELLNESS CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LYNXSURE WELLNESS CENTER LLC",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "UWAYZOR",
        "authorized_official_first_name": "EDIRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-253-5509",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Greenbelt, MD
• Providers in Greenbelt, 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 Mar 8, 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.