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HEALTHPORT
NPI 1154320646
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salisbury, MD

Active since July 18, 2005CLIA Certified · 4 labs
505 E MAIN ST, SALISBURY, MD 21804(410) 341-3420(410) 341-3397 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Sep 25, 2019, Aug 10, 2018 and 1 more (4 updates tracked since 2017).

About Healthport NPPES

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

HEALTHPORT (NPI 1154320646), doing business as Lower Shore Clinic, Inc, is a healthcare organization registered as a mental health (including community mental health center) in Salisbury, Maryland and active in the NPI registry since July 2005. The organization holds 4 active CLIA laboratory certificates and lists Kristine Gartlitz, Vice President, as its authorized official.

NPPES Registry Identity

NPI1154320646
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHEALTHPORT
Location Address505 E MAIN STSalisbury, MD 21804
Mailing Address208 E Main St Ste CSalisbury, MD 21801-4923 · (410) 341-3420 · Fax (410) 341-3397
Phone(410) 341-3420
Fax(410) 341-3397
Organization SubpartNo
Authorized OfficialKristine GartlitzVice President · (410) 202-2651
Enumeration DateJuly 18, 2005
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1154320646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
505 E MAIN ST, Salisbury, MD 21804
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Other Names 1

Former Legal Business NameLower Shore Clinic, Inc

Other Identifiers 2

Medicaid298470900MD
OtherLS92MD · Blue Cross Blue Shield Md

CLIA Laboratory Certificates CMS CLIA 4

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 for Provider-Performed Microscopy Procedures (PPMP) 21D2043928

Healthport · Salisbury, MD
Active · expires Jul 12, 2028
CLIA Number21D2043928
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorShashikala K. Venkatachalapathy MD
Laboratory Phone(410) 341-3420
Laboratory LocationHealthport505 E Main Street, Salisbury, MD 21804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 21D2236182

Healthport · Newark, MD
Active · expires Sep 14, 2027
CLIA Number21D2236182
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorKristine Hickman
Laboratory Phone(410) 341-3420
Laboratory LocationHealthport7033 Worchester Highway, Newark, MD 21841
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2236183

Healthport · Princess Anne, MD
Active · expires Sep 14, 2027
CLIA Number21D2236183
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorKristine Hickman
Laboratory Phone(410) 341-3420
Laboratory LocationHealthport11559 Somerset Ave, Princess Anne, MD 21853
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2236184

Healthport · Cambridge, MD
Active · expires Sep 14, 2027
CLIA Number21D2236184
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorKristine Hickman
Laboratory Phone(410) 341-3420
Laboratory LocationHealthport828 Airpax Rd Bldg B Suite 600, Cambridge, MD 21613
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 20

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

JOHN WRIGHT
Counselor (Mental Health)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MR. JED E. DERRICKSON LCSW-C
Social Worker (Clinical)
505 E MAIN ST, Q
SALISBURY, MD 21804
Wicomico County (410) 742-8882
JEANNETTE KATHLEEN BUCHANAN LCSW-C
Social Worker (Clinical)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
TAMARA M DOUGHERTY LCPC
Counselor (Professional)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MS. VICTORIA A VARGAS LCSW-C
Social Worker (Clinical)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MS. PATRICIA LINDEN SCHLOTTMAN LCSW-C
Social Worker (Clinical)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MRS. STACI LYNN BUTLER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420
MEGAN SAULSBURY LCSW-C
Social Worker (Clinical)
505 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 341-3420

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 Healthport's NPI number?

The NPI number for Healthport is 1154320646. It was assigned to this organization in the NPPES registry on July 18, 2005. The provider was formerly known as Lower Shore Clinic, Inc.

Where is Healthport located?

Healthport is located at 505 E Main St, Salisbury, MD 21804. The listed phone number is (410) 341-3420.

What is Healthport's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Healthport hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Healthport was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.