Active NPI
Lifestream Health Center
- Specialist
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0029051
- Legal business name
- LIFESTREAM HEALTH CENTER
- Practice address
- 4000 Mitchellville Rd
Suite B322
Bowie, MD 20716 - Phone
- (301) 860-0305
- Fax
- (301) 860-0307
- NPI assigned
- Mar 14, 2007
- 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
- Sarah Ann Merritt, M.D.
- Title
- Owner
- Phone
- (301) 860-0305
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0029051 | MD | Primary |
Addresses
Primary practice location
4000 Mitchellville Rd
Suite B322
Bowie, MD 20716
Mailing address
4000 Mitchellville Rd
Suite B322
Bowie, MD 20716
Phone (301) 860-0305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
6810 Park Heights Ave
Ste C4
Baltimore, MD 21215
Phone (410) 358-6644
4600 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (410) 338-3662
2001 Eastern Ave
Ste 1
Baltimore, MD 21231
Phone 4438425500 ext. 103
4000 Mitchellville Rd
Ste A306
Bowie, MD 20716
19 Walker Ave
Ste 101
Pikesville, MD 21208
Phone (410) 484-2855
9106 Philadelphia Rd
Ste 306
Rosedale, MD 21237
Phone (410) 687-2656
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1649876749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457913600000",
"number": "1881728996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD",
"address_2": "SUITE B322",
"city": "BOWIE",
"state": "MD",
"postal_code": "20716",
"telephone_number": "301-860-0305",
"fax_number": "301-860-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD",
"address_2": "SUITE B322",
"city": "BOWIE",
"state": "MD",
"postal_code": "20716",
"telephone_number": "301-860-0305",
"fax_number": "301-860-0307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTREAM HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2016-03-14",
"status": "A",
"authorized_official_last_name": "MERRITT",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-860-0305",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0029051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.