Organization Active NPI

Leading by Example LLC.

  • Community/Behavioral Health Agency
  • Nottingham, MD
National Provider Identifier
1760610596
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEADING BY EXAMPLE LLC.
Practice address
5026 Campbell Blvd
Suite H
Nottingham, MD 21236-4966
Phone
(410) 780-2692
Fax
(410) 780-2694
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Mr. Johnnie Fielding Jr., MSW
Title
Program Director
Phone
(410) 780-2692

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X MD Primary

Addresses

Primary practice location

5026 Campbell Blvd
Suite H
Nottingham, MD 21236-4966

Mailing address

5026 Campbell Blvd
Suite H
Nottingham, MD 21236-4966
Phone (410) 780-2692

Other identifiers 1

IdentifierTypeStateIssuer
417333300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Leading by Example LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1760610596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 CAMPBELL BLVD",
            "address_2": "SUITE H",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364966",
            "telephone_number": "410-780-2692",
            "fax_number": "410-780-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 CAMPBELL BLVD",
            "address_2": "SUITE H",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364966",
            "telephone_number": "410-780-2692",
            "fax_number": "410-780-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING BY EXAMPLE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-780-2692",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417333300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.