LGM Healthcare Services & Aesthetics Medicine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LGM HEALTHCARE SERVICES & AESTHETICS MEDICINE

Doing business as

LGM Healthcare Services

Practice address

7850 Rossville Blvd Ste 210
Nottingham, MD 21236-3934

Phone

(443) 858-6828

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Ila Melvin, FNP-BC , NP-C

Title

Family Nurse Practitoner

Phone

(410) 661-9020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LGM Healthcare Services Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23225/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1679078679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 ROSSVILLE BLVD STE 210",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363934",
            "telephone_number": "410-661-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 ROSSVILLE BLVD STE 210",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363934",
            "telephone_number": "443-858-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGM HEALTHCARE SERVICES & AESTHETICS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "ILA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITONER",
        "authorized_official_telephone_number": "410-661-9020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC , NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444289000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LGM Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.