Pem Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PEM WELLNESS LLC

Practice address

375 Chiseled Stone Rd
Sykesville, MD 21784-8656

Phone

(443) 865-8695

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Ashley Valle Lucas, CRNPNPI 1558952689

Title

Owner

Phone

(443) 865-8695

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Valle Lucas, NP

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1558952689
  NPD Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1710720180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CHISELED STONE RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848656",
            "telephone_number": "443-865-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CHISELED STONE RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848656",
            "telephone_number": "443-865-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "VALLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-865-8695",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Paraway
• Clara Ann Paris, COTA/R, CPHT
• Jae Mu Park, M.D.
• Kunjal Kiran Patel, PHARM. D.
• Mansi Patel
• Jacqueline Christine Perry
• Gary L Persing, PT
• Sherri Ann Pfisterer, RN
• Physician Group Provider - Springfield Hospital Center
• Pin It Up Acupuncture

• Primary Care Clinic/Center in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.