Nirvana Holistic Spa LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NIRVANA HOLISTIC SPA LLC

Practice address

6201 Greenbelt Rd Ste U7
Berwyn Heights, MD 20740-2361

Phone

(301) 798-7687

Fax

(800) 297-9152

NPI assigned

Jan 16, 2025

Organization subpart

Yes

Parent organization

NIRVANA HOLISTIC SPAAs reported in NPPES

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

Authorized official

Name

Dr. Shaundel Knights, NDNPI 1376985390

Title

Owner

Phone

(301) 798-7687

Specialties & licenses 4

Addresses

Other names 1

• Nirvana Holistic Medicine Doing business as

Part of

Nirvana Holistic Spa LLC

Locations

Practitioners 1

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

• Shaundel Knights, ND

  • Naturopath
  • Brentwood, MD
  • NPI 1376985390
  NPD Authorized official

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1831900141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE U7",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402361",
            "telephone_number": "301-798-7687",
            "fax_number": "800-297-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE U7",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402361",
            "telephone_number": "301-798-7687",
            "fax_number": "800-297-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA HOLISTIC SPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIRVANA HOLISTIC SPA",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "KNIGHTS",
        "authorized_official_first_name": "SHAUNDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-798-7687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nirvana Holistic Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nirvana Holistic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Berwyn Heights, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.