Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEALTHSPAN COMPREHENSIVE HEALTH
NPI 1013876879
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since January 19, 2026
5502 EDMONDSON AVE, BALTIMORE, MD 21229(410) 988-4418 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Jan 25, 2026 (2 updates tracked since 2026).

About Healthspan Comprehensive Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSPAN COMPREHENSIVE HEALTH (NPI 1013876879) is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since January 2026. The organization lists Peterson Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1013876879
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEALTHSPAN COMPREHENSIVE HEALTH
Location Address5502 EDMONDSON AVEBaltimore, MD 21229-2220
Mailing Address4380b Montgomery Rd # 1051Ellicott City, MD 21043-6006
Organization SubpartNo
Authorized OfficialPeterson NguyenOwner · (410) 988-4418
Enumeration DateJanuary 19, 2026
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1013876879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
5502 EDMONDSON AVE, Baltimore, MD 21229

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthspan Comprehensive Health's NPI number?

The NPI number for Healthspan Comprehensive Health is 1013876879. It was assigned to this organization in the NPPES registry on January 19, 2026.

Where is Healthspan Comprehensive Health located?

Healthspan Comprehensive Health is located at 5502 Edmondson Ave, Baltimore, MD 21229. The listed phone number is (410) 988-4418.

What is Healthspan Comprehensive Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Healthspan Comprehensive Health was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.