ENVISION HEALTH AND WELLNESS (NPI# 1336764729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336764729 |
| Entity Type | Organization |
| Organization Name | ENVISION HEALTH AND WELLNESS |
| Practice Address |
2 West Rolling Crossroads Ste 111 Catonsville MD 21228 |
| Mailing Address |
5122 Crest Haven Way Perry Hall MD 21128-9793 |
| Practice Telephone | 4438677471 |
| Mailing Telephone | 4438677471 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MRS. CHRISTIE SIMON-WATERMAN (OWNER/ CEO) |
| Authorized Official Telephone | 4438677471 |
| Authorized Official Credential | DNP, CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787847 | Envision Health and Wellness | Family Medicine | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-10-12 |
| 1467067066 | Envision Health and Wellness | Community/Behavioral Health | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Envision Health and Wellness LLC | 15540 E 6th Street, Aurora, CO 80011 |
| Oregon Corporations, Companies and Business Names | ENVISION HEALTH AND WELLNESS LLC | 29720 Jeans Rd Spc 6, Veneta, OR 97487 |
| Street Address |
2 WEST ROLLING CROSSROADS STE 111 |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558606343 | Christie Simon-waterman | Nurse Practitioner | 2 West Rolling Crossroads Ste 111, Catonsville, MD 21228 | 2012-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1336572155 | An'nita Moore-hebron | Nurse Practitioner | 5602 Baltimore National Pike Ste 303, Catonsville, MD 21228 | 2013-08-15 |
| 1558606343 | Christie Simon-waterman | Nurse Practitioner | 2 West Rolling Crossroads Ste 111, Catonsville, MD 21228 | 2012-12-05 |
| 1174873806 | Parminder Singh | Nurse Practitioner | 2 W Rolling Xrds Ste 206, Catonsville, MD 21228-6209 | 2012-09-10 |
| 1720553662 | Kehinde Olaore Laniyi | Nurse Practitioner | 413 Commonwealth Ave Ste 7, Catonsville, MD 21228-3044 | 2018-10-08 |
| 1346795309 | Elizabeth Jean Miller | Nurse Practitioner | 6501 Baltimore National Pike Ste D, Catonsville, MD 21228-3923 | 2016-08-19 |
| 1528419561 | New Era Wellness, LLC | Nurse Practitioner | 715 Ingleside Ave, Catonsville, MD 21228-1726 | 2016-06-30 |
| 1790156891 | Antorian Consulting Services | Nurse Practitioner | 5602 Baltimore National Pike Ste 303, Catonsville, MD 21228 | 2015-10-14 |
| 1568831329 | Amanda Rothenbecker | Nurse Practitioner | 516 N Rolling Rd, Suite 304, Catonsville, MD 21228-4140 | 2015-09-22 |
| 1639546443 | Laura Evans | Nurse Practitioner | 6501 Baltimore National Pike Ste D, Catonsville, MD 21228-3923 | 2015-08-27 |
| Find all providers in CATONSVILLE | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on ENVISION HEALTH AND WELLNESS.
| 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.