Fair Winds Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FAIR WINDS WELLNESS LLC

Doing business as

Fair Winds Wellness

Practice address

417 Academy St
Cambridge, MD 21613-1958

Phone

(410) 228-2474

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie Nuthall, LAC

Title

Owner

Phone

(410) 228-2474

Specialties & licenses 1

Addresses

Other names 1

• Fair Winds Wellness Doing business as

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.

• Staci H Walden, MSCN, RD/LDN,

  • Registered Dietitian
  • Cambridge, MD
  • NPI 1285916262
  NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1669023974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ACADEMY ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131958",
            "telephone_number": "410-228-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ACADEMY ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131958",
            "telephone_number": "410-228-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR WINDS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "NUTHALL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-228-2474",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Winds Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Eskridge
• Dean Evans
• Gina Exantus-Bernard
• Express Medical Wellness LLC
• Darlene M Fahrman, PD (R.PH)
• Asif Ali Fakhri, M.D.
• Jennifer Farrare, M.ED, LCPC, NCC
• Milton William Feder, M.D.
• Madeline Elizabeth Fisher, MS
• Foot and Ankle Specialists of the Mid-Atlantic LLC

• Health Service Clinic/Center in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.