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CHESAPEAKE FAMILY PRACTICE, INC.
NPI 1124488408
Nurse Practitioner - Family in Salisbury, MD

Active since March 01, 2016CLIA 21D2119161 · Waiver
1201 PEMBERTON DR STE 2A, SALISBURY, MD 21801(443) 978-7170(443) 978-7173 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2021, Mar 1, 2016 (2 updates tracked since 2016).

About Chesapeake Family Practice, Inc. NPPES

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

CHESAPEAKE FAMILY PRACTICE, INC. (NPI 1124488408) is a healthcare organization registered as a family in Salisbury, Maryland and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Jessica Leigh Hill, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1124488408
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHESAPEAKE FAMILY PRACTICE, INC.
Location Address1201 PEMBERTON DR STE 2ASalisbury, MD 21801-2501
Mailing Address1201 Pemberton Dr Ste 2aSalisbury, MD 21801-2501 · (443) 978-7170
Phone(443) 978-7170
Fax(443) 978-7173
Organization SubpartNo
Authorized OfficialJessica Leigh HillCeo/owner · (410) 251-6246
Enumeration DateMarch 1, 2016
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1124488408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R181859
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License R181859 (MD)
1201 PEMBERTON DR STE 2A, Salisbury, MD 21801
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2119161

Chesapeake Family Practice · Salisbury, MD
Active · expires Sep 20, 2026
CLIA Number21D2119161
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorMenachem Y. Edelman
Laboratory Phone(443) 978-7170
Laboratory LocationChesapeake Family Practice1201 Pemberton Dr 2A, Salisbury, MD 21801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MICHELLE MASON FNP-C
Nurse Practitioner (Primary Care)
1201 PEMBERTON DR STE 2A
SALISBURY, MD 21801
Wicomico County (443) 978-7170
JESSICA HILL FNP-BC
Nurse Practitioner (Family)
1201 PEMBERTON DR STE 2A
SALISBURY, MD 21801
Wicomico County (443) 978-7170

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 Chesapeake Family Practice, Inc.'s NPI number?

The NPI number for Chesapeake Family Practice, Inc. is 1124488408. It was assigned to this organization in the NPPES registry on March 1, 2016.

Where is Chesapeake Family Practice, Inc. located?

Chesapeake Family Practice, Inc. is located at 1201 Pemberton Dr Ste 2A, Salisbury, MD 21801. The listed phone number is (443) 978-7170.

What is Chesapeake Family Practice, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Chesapeake Family Practice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2119161) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chesapeake Family Practice, Inc. was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.