NURSE MANAGED WELLNESS CLINIC LAB
NPI 1427590488
Nurse Practitioner - Family in Cumberland, MD

NPI Status: Active since November 08, 2016

Contact Information

12401 WILLOWBROOK RD
ALLIED HEALTH BUILDING, ROOM 115
CUMBERLAND, MD
ZIP 21502
Phone: (301) 784-5670
Fax: (301) 784-5093

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  • Organization
  • Nurse Practitioner
  • Family

About NURSE MANAGED WELLNESS CLINIC LAB

This page provides the complete NPI Profile along with additional information for Nurse Managed Wellness Clinic Lab, a provider established in Cumberland, Maryland operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1427590488 assigned on November 2016. The practitioner's primary taxonomy code is 363LF0000X with license number R095433 (MD). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Nurse Managed Wellness Clinic Lab. The authorized official of this NPI record is Mrs. Anna M Kephart (Office Manager)

NPI
1427590488
Provider Legal Name
ALLEGANY COLLEGE OF MARYLAND
Other Organization Name
NURSE MANAGED WELLNESS CLINIC LAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12401 WILLOWBROOK RD ALLIED HEALTH BUILDING, ROOM 115 CUMBERLAND, MD 21502
Location Phone
(301) 784-5670
Location Fax
(301) 784-5093
Mailing Address
12401 WILLOWBROOK RD ALLIED HEALTH BUILDING, ROOM 115 CUMBERLAND, MD 21502
Mailing Phone
(301) 784-5670
Mailing Fax
(301) 784-5093
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-08-2016
Last Update Date
04-18-2017
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A nurse practitioner (NP) like Nurse Managed Wellness Clinic Lab is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R095433
License State
MD

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

R081546 (MD)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ANNA M KEPHART

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(301) 784-5670

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427590488
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471090416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 9 + 0 + 4 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1427590488 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821305087DR. JAMES LEANDER HILGEMAN DDS
Individual
Dentist (General Practice)12401 WILLOWBROOK RD
CUMBERLAND, MD 21502
(301) 784-5540
1174069090MRS. BRENDA LEE OWENS FNP-BC
Individual
Nurse Practitioner (Family)12401 WILLOWBROOK RD
CUMBERLAND, MD 21502
(301) 784-5670
1013463561ALLEGANY COLLEGE OF MARYLAND
Organization
Nurse Practitioner (Family)12401 WILLOWBROOK RD
CUMBERLAND, MD 21502
(301) 784-5670
1952936205 MICHELE C COSNER WHNP
Individual
Registered Nurse12401 WILLOWBROOK RD
CUMBERLAND, MD 21502
(301) 784-5670

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427590488, enumerated in the NPI registry as an "organization" on November 08, 2016

The provider is located at 12401 Willowbrook Rd Allied Health Building, Room 115 Cumberland, Md 21502 and the phone number is (301) 784-5670

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

This NPI record was last updated on November 08, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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