NPIMap

Organization Active NPI

A Clean Start LLC

  • Family Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1821707944
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
A CLEAN START LLC
Practice address
3 Greenwood PL Ste 108
Pikesville, MD 21208-2701
Phone
(410) 205-7698
NPI assigned
Nov 17, 2022
Organization subpart
Yes
Parent organization
A CLEAN START LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Anikka Stokes
Title
Co-Owner
Phone
(410) 205-7698

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3 Greenwood PL Ste 108
Pikesville, MD 21208-2701

Mailing address

3 Greenwood PL Ste 108
Pikesville, MD 21208-2701

Other names 1

  • A Clean Start Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Clean Start LLC2 organizations share this tax ID, including this one
Part of
A Clean Start LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1821707944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GREENWOOD PL STE 108",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GREENWOOD PL STE 108",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082701",
            "telephone_number": "410-205-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CLEAN START LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A CLEAN START LLC",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "ANIKKA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-205-7698"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Clean Start Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Clean Start Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.