NEIGHBORHOOD WELLNESS, LLC (NPI# 1174954499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174954499 |
| Entity Type | Organization |
| Organization Name | NEIGHBORHOOD WELLNESS, LLC |
| Practice Address |
2401 Liberty Heights Avenue Mondawmin Mall, Space 4625 Baltimore MD 21215-8086 |
| Mailing Address |
10451 Mill Run Circle Suite 400 Owings Mills MD 21117-5594 |
| Practice Telephone | 4103657335 |
| Practice Fax Number | 4103838959 |
| Mailing Telephone | 4103568836 |
| Mailing Fax Number | 4103568804 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | ROBERT N. ELKINS (PRESIDENT) |
| Authorized Official Telephone | 4103568836 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2401 LIBERTY HEIGHTS AVENUE MONDAWMIN MALL, SPACE 4625 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-8086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364192 | Folasade O Onasanya | Nurse Practitioner | 3312 Croydon Rd, Baltimore, MD 21207-4543 | 2020-10-23 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1730654062 | Alaina Lourdes Frey | Nurse Practitioner | 3455 Wilkens Ave # L10, Baltimore, MD 21229-5213 | 2018-10-13 |
| 1336624113 | Optimum Family Clinic | Nurse Practitioner | 6014 Harford Rd, Baltimore, MD 21214-1327 | 2018-09-27 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1073050365 | Marla Brown | Nurse Practitioner | 6821 Reisterstown Rd Ste 106, Baltimore, MD 21215-1434 | 2017-01-24 |
| 1326443086 | Yury Malachevsky | Nurse Practitioner | 2435 W. Belvedere Avenue, Suite 22, Baltimore, MD 21215 | 2014-10-23 |
| 1811261050 | Ashley Miller Salamone | Nurse Practitioner | 1800 Orleans Street Sheikh Zayed Tower, Suite 7125 F-1, Baltimore, MD 21287-0020 | 2012-03-06 |
| 1467445924 | Shannon K Idzik | Nurse Practitioner | 655 W Lombard St, 345, Baltimore, MD 21201-1512 | 2005-08-30 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.