Active NPI
Brittany Powell
- Assisted Living Facility
- Baltimore, MD
National Provider Identifier
1679353387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 3AL3944
- Practice address
- 2902 Lyndhurst Ave
Baltimore, MD 21216-1733 - Phone
- (443) 915-4313
- NPI assigned
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 3AL3944 | MD | Primary |
| Health Service Clinic/Center | 261QH0100X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | 3AL3944 | MD | |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 3AL3944 | MD |
Addresses
Primary practice location
2902 Lyndhurst Ave
Baltimore, MD 21216-1733
Mailing address
2902 Lyndhurst Ave
Baltimore, MD 21216-1733
Phone (443) 915-4313
Other practice location 1
6340 Security Blvd # 100-B2
Gwynn Oak, MD 21207-5173
Phone (410) 781-1894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3AL3944 | MD | MD | Assisted Living Facility (Mental Illness) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1679353387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 LYNDHURST AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212161733",
"telephone_number": "443-915-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 LYNDHURST AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212161733",
"telephone_number": "443-915-4313"
}
],
"practiceLocations": [
{
"address_1": "6340 Security Blvd # 100-B2",
"address_purpose": "LOCATION",
"city": "Gwynn Oak",
"state": "MD",
"postal_code": "212075173",
"country_code": "US",
"telephone_number": "410-781-1894",
"fax_number": "443-853-9290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "BRITTANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MD",
"license": "3AL3944",
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "MD",
"license": "3AL3944",
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "MD",
"license": "3AL3944",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.