TRUE VITALITY CONSULTING DBA PERIDOT HEALTH


Address: 5255 Buckeystown Pike, Frederick, MD 21704-7535
Phone: 3016955678

TRUE VITALITY CONSULTING DBA PERIDOT HEALTH (NPI# 1356957252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356957252
Entity Type Organization
Organization Name TRUE VITALITY CONSULTING DBA PERIDOT HEALTH
Other Organization Name PERIDOT HEALTH
Practice Address 5255 Buckeystown Pike
Frederick
MD 21704-7535
Mailing Address 13200 Uffizi Ln
Clarksburg
MD 20871-6314
Practice Telephone 3016955678
Practice Fax Number 2408155507
Mailing Telephone 2405295938
Enumeration Date 2020-09-17
Last Update Date 2020-10-26
Authorized Official Name MS. PRINCESS STEPHENSON (FAMILY NURSE PRACTITIONER/ OWNER)
Authorized Official Telephone 3016955678
Authorized Official Credential APRN, FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Peridot Health Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
2219 York Rd Ste 103, Timonium, MD 210933140 4102527469 4108323707
5 Bel Air South Pkwy, Bel Air, MD 210156091 4105696001
5 Bel Air South Pkwy Ste 1207, Bel Air, MD 210156088 4105696001 4435877061

Office Location

Street Address 5255 BUCKEYSTOWN PIKE
City FREDERICK
State MD
Zip Code 21704-7535

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1326460817 Jessica Lacayo Nurse Practitioner 3350 Worthington Boulevard, Urbana, MD 21704 2014-01-17
1588098818 Kimberly Kaye Dipietro Registered Nurse 9006 Harris Street, Frederick, MD 21704 2013-08-22
1831432525 Yuqing Meng Pharmacist 9317 Elgin Lane, Frederick, MD 21704 2013-04-01
1831446285 Diane Marie Foland Behavioral Analyst 4235 Lafayette Street, Frederick, MD 21704 2012-08-03
1982932695 Contemporary Therapeutic Services Inc Community/Behavioral Health 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 2009-11-19
1942461181 Hoa T K Lam Dentist 7360 Guilford Drive, Suite #102, Frederick, MD 21704 2008-06-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1285288282 Augusto Paredes Ubillus Nurse Practitioner 110 Baughmans Ln Ste 140, Frederick, MD 21702-4649 2019-07-29
1912561408 Christine Noyan-lue Nurse Practitioner 9516 Bridgewater Ct E, Frederick, MD 21701-7619 2019-04-30
1720642986 Ashley Marie Fox Nurse Practitioner 1305 W 7th St Ste 28, Frederick, MD 21702-4100 2019-04-23
1265997845 Karen Gregory Nurse Practitioner 9330 Bishopgate Dr, Frederick, MD 21704-7356 2019-02-07
1447735352 Ezcare Clinic LLC Nurse Practitioner 1519 W Patrick St Ste A1, Frederick, MD 21702-3763 2018-09-26
1801378435 Saving Lives Center LLC Nurse Practitioner 3 Hillcrest Dr Ste A101, Frederick, MD 21703-6105 2018-08-30
1235655903 Laura Jane Kannaian Nurse Practitioner 176 Thomas Johnson Dr Ste 104, Frederick, MD 21702-4499 2017-08-15
1265961312 Rebecca M Barker Nurse Practitioner 182 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4486 2017-06-11
1326590068 Natalie Reid Nurse Practitioner 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 2016-10-28
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Competitor

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City FREDERICK
Zip Code 21704

Improve Information

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Dataset Information

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.

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