Medi-Wellness of Calvert

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MEDI-WELLNESS OF CALVERT

Practice address

10339 Southern Maryland Blvd Ste 206
Dunkirk, MD 20754-3018

Phone

(443) 964-6887

Fax

(443) 964-6897

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sherri Anne Beauchamp, DC

Title

Ceo

Phone

(443) 964-6887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1982083010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10339 SOUTHERN MARYLAND BLVD STE 206",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543018",
            "telephone_number": "443-964-6887",
            "fax_number": "443-964-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 SOUTHERN MARYLAND BLVD STE 206",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543018",
            "telephone_number": "443-964-6887",
            "fax_number": "443-964-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-WELLNESS OF CALVERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-964-6887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.