Organization Active NPI

Evergreen Health and Life

  • Community/Behavioral Health Agency
  • Middletown, MD
National Provider Identifier
1659198091
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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, PMHNPNPI 1972904845
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.