Active NPI
Saving Lives Center LLC
Doing business as Saving Lives Center Family Clinic
- Family Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R191391
- Legal business name
- SAVING LIVES CENTER LLC
- Doing business as
- Saving Lives Center Family Clinic
- Practice address
- 3 Hillcrest Dr Ste A101
Frederick, MD 21703-6105 - Phone
- (240) 575-9940
- Fax
- (240) 575-9481
- NPI assigned
- Aug 30, 2018
- Last updated
- Sep 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oluwakemi Osidele, DNP, FNP-C
- Title
- Ceo
- Phone
- (240) 277-3768
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R191391 | MD | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
3 Hillcrest Dr Ste A101
Frederick, MD 21703-6105
Mailing address
3 Hillcrest Dr Ste A101
Frederick, MD 21703-6105
Phone (240) 575-9940
Other practice location 1
211 S Jefferson St # 101
Frederick, MD 21701-6283
Phone (240) 582-1022
Other practice location 2
4235 Southern Ave
Capitol Heights, MD 20743-5767
Phone (240) 618-3104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1362453 | Medicaid | MD | |
| 545071YZ2Q | Medicaid | DC |
Other names 1
- Saving Lives Center Family Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2154626 | Saving Lives Center Family Clinic | Certificate of waiver | Sep 16, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Saving Lives Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Frederick, MD
- NPI 1174201818
-
- Multi-Specialty Clinic/Center
- Capitol Heights, MD
- NPI 1467266981
Locations
188 Thomas Johnson Dr
Ste 102
Frederick, MD 21702
Phone (240) 575-9940
211 S Jefferson St
Ste 101
Frederick, MD 21701
Phone (240) 582-1022
3 Hillcrest Dr
Ste A101
Frederick, MD 21703
Phone (240) 575-9940
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Multi-Specialty Clinic/Center
- Frederick, MD
- NPI 1174201818
-
- Multi-Specialty Clinic/Center
- Capitol Heights, MD
- NPI 1467266981
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
- NPI 1649649468
DC, Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Edgewater, MD
- NPI 1083142442
DC, Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, MD
- NPI 1700220175
DC, Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693526400000",
"number": "1801378435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HILLCREST DR STE A101",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036105",
"telephone_number": "240-575-9940",
"fax_number": "240-575-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HILLCREST DR STE A101",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217036105",
"telephone_number": "240-575-9940",
"fax_number": "240-575-9481"
}
],
"practiceLocations": [
{
"address_1": "211 S Jefferson St # 101",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217016283",
"country_code": "US",
"telephone_number": "240-582-1022",
"fax_number": "240-582-1795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4235 Southern Ave",
"address_purpose": "LOCATION",
"city": "Capitol Heights",
"state": "MD",
"postal_code": "207435767",
"country_code": "US",
"telephone_number": "240-618-3104",
"fax_number": "240-627-7312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAVING LIVES CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-30",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A",
"authorized_official_last_name": "OSIDELE",
"authorized_official_first_name": "OLUWAKEMI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-277-3768",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R191391",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1362453",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "545071YZ2Q",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Saving Lives Center Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.