Organization Active NPI

Continuum Wellness Center LLC.

  • Health Educator
  • Catonsville, MD
National Provider Identifier
1871136572
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
CONTINUUM WELLNESS CENTER LLC.
Practice address
2 W Rolling XRDS Ste 111
Catonsville, MD 21228-6204
Phone
(410) 788-6727
Fax
(410) 788-6729
NPI assigned
Oct 25, 2019
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Lystra Eastlyn Williams, CRNPNPI 1871678995
Title
Owner
Phone
(410) 788-6727

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

2 W Rolling XRDS Ste 111
Catonsville, MD 21228-6204

Mailing address

2 W Rolling XRDS Ste 111
Catonsville, MD 21228-6204
Phone (410) 788-6727

Other practice location 1

7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061-3092
Phone (410) 788-6727

Other identifiers 1

IdentifierTypeStateIssuer
870014100MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.mycontinuumwellness.com Direct
Other URL www.mycontinuumwellness.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Continuum Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7310 Ritchie Hwy
Ste 405
Glen Burnie, MD 21061
Phone (410) 788-6727

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1871136572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W ROLLING XRDS STE 111",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286204",
            "telephone_number": "410-788-6727",
            "fax_number": "410-788-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W ROLLING XRDS STE 111",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286204",
            "telephone_number": "410-788-6727",
            "fax_number": "410-788-6729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7310 Ritchie Hwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613092",
            "country_code": "US",
            "telephone_number": "410-788-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTINUUM WELLNESS CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LYSTRA",
        "authorized_official_middle_name": "EASTLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-788-6727",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870014100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mycontinuumwellness.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 W Rolling Xrds Ste 111",
            "city": "Catonsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212286204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mycontinuumwellness.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7310 Ritchie Hwy Ste 405",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210613092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.