STATE OF WELLNESS, INC (NPI# 1700241577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700241577 |
| Entity Type | Organization |
| Organization Name | STATE OF WELLNESS, INC |
| Practice Address |
9622 Basket Ring Road Columbia MD 21045-3418 |
| Practice Telephone | 4107152268 |
| Practice Fax Number | 4339259565 |
| Mailing Telephone | 4107152268 |
| Mailing Fax Number | 4439269565 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | MICHAELA ANN CONLEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107152268 |
| Authorized Official Credential | MS, MCHES |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | MD | Other Service Providers |
| Street Address |
9622 BASKET RING ROAD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407398399 | State of Wellness Inc. | Local Education Agency (LEA) | 9622 Basket Ring Road, Columbia, MD 21045 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665969 | Crystal Strong | Health Educator | 101 Birch Hollow Dr, Columbia, SC 29229-8207 | 2020-06-30 |
| 1033566385 | Nikita Mack | Health Educator | 55 Crooked Creek Pl, Columbia, SC 29229-7196 | 2016-05-17 |
| 1063787364 | Jennifer Lyn Artioli | Health Educator | 100 Mizzou Athletics Training, Sports Medicine, Columbia, MO 65211-3080 | 2012-03-20 |
| 1922391556 | Sharita Francis-williams | Health Educator | 5235 Brook Way Apt4, Columbia, MD 21044-1619 | 2011-05-16 |
| 1104120609 | Lorrie Lindsey Leigh | Health Educator | 9337 Cornshock Ct, Columbia, MD 21045-5202 | 2010-12-27 |
| 1629678933 | Brittney Harris | Health Educator | 1301 Taylor St, Columbia, SC 29201-2942 | 2020-10-27 |
| 1447877998 | Curtrell Gadson, Msw | Health Educator | 1501 Sumter St, Columbia, SC 29201-2829 | 2020-07-01 |
| 1710504345 | Taquina Chante Davis | Health Educator | 1501 Sumter St, Columbia, SC 29201-2829 | 2020-06-30 |
| 1154948008 | Jasmine Gant | Health Educator | 1501 Sumter St, Columbia, SC 29201-2829 | 2020-06-26 |
| 1043837040 | Tiara N. Rosemond | Health Educator | 1501 Sumter St, Columbia, SC 29201-2829 | 2020-06-25 |
| Find all providers in COLUMBIA | ||||
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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.