Axis Holistic Healthcare LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AXIS HOLISTIC HEALTHCARE LLC

Practice address

9537 Oakhurst Dr
Columbia, MD 21046-2705

Phone

(667) 231-1782

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Robin Martinez, FNP-BCNPI 1942645452

Title

Ceo

Phone

(667) 231-1782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Robin Martinez, FNP-BC. CDCES

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1942645452
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1992499743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 OAKLAND MILLS RD # 116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454714",
            "telephone_number": "667-231-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9537 OAKHURST DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462705",
            "telephone_number": "667-231-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HOLISTIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "667-231-1782",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Electa Awanga
• Adetutu Awodipe, NP
• Mercy Awokunle, CRNP
• Gerlind Awungafeh
• Susana Awunti
• Fatoumata Ben Aya
• Monica Dinelle Ayadi, NP
• Edna Ayah, NP
• Kalkidan Kassahun Ayalew, NP
• Lola Ayan

• Health Service Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.

Verify at the official NPI Registry.