PAIN & WELLNESS THERAPIES LLC (NPI# 1316413222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316413222 |
| Entity Type | Organization |
| Organization Name | PAIN & WELLNESS THERAPIES LLC |
| Other Organization Name | PAIN & WELLNESS THERAPIES |
| Practice Address |
2300 Garrison Blvd Ste 200 Baltimore MD 21216-2309 |
| Mailing Address |
Po Box 688 Jessup MD 20794-0688 |
| Practice Telephone | 3015927642 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | MS. LESLIE OGBEBOR (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3015927642 |
| Authorized Official Credential | AGACNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1851637094 | 05 | |
| MD | 1922502319 | 05 |
| Other Name | Type Code |
|---|---|
| Pain & Wellness Therapies | Former Legal Business Name - Organization |
| Pain & Wellness Therapies | Other Name - Individual/Organization |
| Street Address |
2300 GARRISON BLVD STE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346748860 | Care Rx Pharmacy Inc | Pharmacy | 2300 Garrison Blvd Ste 200, Baltimore, MD 21216-2309 | 2018-01-30 |
| 1841844222 | Amaris Patrice Murray | Nurse Practitioner | 2300 Garrison Blvd Ste 200, Baltimore, MD 21216-2309 | 2019-07-24 |
| 1013414689 | Olajumoke Amuwo | Pharmacy | 2300 Garrison Blvd Ste 200, Baltimore, MD 21216-2309 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000679 | Laly Sorto | Nurse Practitioner | 923 S Curley St, Baltimore, MD 21224-4825 | 2020-10-14 |
| 1093312209 | Shelby Bruno | Nurse Practitioner | 29 S Greene St Fl 2, Baltimore, MD 21201-1504 | 2020-10-01 |
| 1558996520 | Mercy Olunma Ejikemeh | Nurse Practitioner | 4625 Riddle Dr, Baltimore, MD 21236-5702 | 2020-03-10 |
| 1215599170 | Shannon Joan Carroll | Nurse Practitioner | 1448 Richardson St, Baltimore, MD 21230-5322 | 2019-07-01 |
| 1871074096 | Debobeth Medical Center | Nurse Practitioner | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-25 |
| 1558853747 | Jackline Ukadike | Nurse Practitioner | 650 S Exeter St, Baltimore, MD 21202-4573 | 2018-06-04 |
| 1881183283 | Rosanna Thy Dinh | Nurse Practitioner | 419 W Redwood St Ste 330, Baltimore, MD 21201-7003 | 2018-05-02 |
| 1992219885 | Josie Dantzler | Nurse Practitioner | 405 N Paca St Fl 1, Baltimore, MD 21201-1815 | 2017-11-30 |
| 1306358908 | Gina Lynne Murray | Nurse Practitioner | 4102 Chardel Rd Apt 3f, Baltimore, MD 21236-5463 | 2017-11-04 |
| 1114440468 | Abigale Ann Celotto | Nurse Practitioner | 22 S Greene St # G7k22, Baltimore, MD 21201-1544 | 2017-07-19 |
| 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.