Active NPI
Evergreen Health and Life
- Community/Behavioral Health Agency
- Middletown, MD
National Provider Identifier
1659198091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EVERGREEN HEALTH AND LIFE
- Practice address
- 100 Middletown Pkwy
Suite 202 PMB# 40
Middletown, MD 21769 - Phone
- (240) 934-0090
- Fax
- (240) 348-8621
- NPI assigned
- Sep 25, 2024
- Last updated
- Sep 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lindsay Brooke Bitto, DNP, FNP, PMHNP
- Title
- Founder, Ceo, NP
- Phone
- (240) 934-0090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
100 Middletown Pkwy
Suite 202 PMB# 40
Middletown, MD 21769
Mailing address
100 Middletown Pkwy
Suite 202 PMB# 40
Middletown, MD 21769
National Provider Directory
National Provider DirectoryLocations
100 Middletown Pkwy
Unit 202
Middletown, MD 21769
Phone (240) 934-0090
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.
-
- Family Nurse Practitioner
- Frederick, MD
- NPI 1972904845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1659198091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MIDDLETOWN PKWY",
"address_2": "SUITE 202 PMB# 40",
"city": "MIDDLETOWN",
"state": "MD",
"postal_code": "21769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MIDDLETOWN PKWY",
"address_2": "SUITE 202 PMB# 40",
"city": "MIDDLETOWN",
"state": "MD",
"postal_code": "21769",
"telephone_number": "240-934-0090",
"fax_number": "240-348-8621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN HEALTH AND LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "BITTO",
"authorized_official_first_name": "LINDSAY",
"authorized_official_middle_name": "BROOKE",
"authorized_official_title_or_position": "FOUNDER, CEO, NP",
"authorized_official_telephone_number": "240-934-0090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP, PMHNP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.