BROOKSIDE HEALTH & WELLNESS LLC
NPI 1164930533
Nurse Practitioner - Family in Oakland, MD

Active since January 18, 2018CLIA 21D2143931 · Waiver
6500 THAYER CTR, OAKLAND, MD 21550(301) 334-5610(888) 843-8457 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 21, 2021, Mar 19, 2018, Mar 6, 2018 and 1 more (4 updates tracked since 2018).

About Brookside Health & Wellness Llc NPPES

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

BROOKSIDE HEALTH & WELLNESS LLC (NPI 1164930533) is a healthcare organization registered as a family in Oakland, Maryland and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Rachel Renee Friend-lantz, Crnp, as its authorized official.

NPPES Registry Identity

NPI1164930533
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBROOKSIDE HEALTH & WELLNESS LLC
Location Address6500 THAYER CTROakland, MD 21550-1130
Mailing AddressPo Box 654Oakland, MD 21550-4654 · (301) 334-5610 · Fax (888) 843-8457
Fax(888) 843-8457
Organization SubpartNo
Authorized OfficialRachel Renee Friend-lantzCrnp · (301) 616-6333
Enumeration DateJanuary 18, 2018
Last NPPES UpdateOctober 16, 20254 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
NPI 1164930533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R174165
6500 THAYER CTR, Oakland, MD 21550

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 21D2143931

Brookside Health & Wellness LLC · Oakland, MD
Active · expires Feb 7, 2028
CLIA Number21D2143931
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorRachel R. Friend-Lantz
Laboratory Phone(301) 334-5610
Laboratory LocationBrookside Health & Wellness LLC14689 Garrett Hwy, Oakland, MD 21550
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 10

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

Audiologist
6500 THAYER CTR
OAKLAND, MD 21550
Occupational Therapist
6500 THAYER CTR
OAKLAND, MD 21550
Physical Therapist
6500 THAYER CTR
OAKLAND, MD 21550
Physical Therapist
6500 THAYER CTR
OAKLAND, MD 21550
Physical Therapist
6500 THAYER CTR
OAKLAND, MD 21550
Nurse Practitioner (Family)
6500 THAYER CTR
OAKLAND, MD 21550
Physical Therapist
6500 THAYER CTR
OAKLAND, MD 21550
Occupational Therapist
6500 THAYER CTR
OAKLAND, MD 21550

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 Brookside Health & Wellness LLC's NPI number?

The NPI number for Brookside Health & Wellness LLC is 1164930533. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is Brookside Health & Wellness LLC located?

Brookside Health & Wellness LLC is located at 6500 Thayer Ctr, Oakland, MD 21550. The listed phone number is (301) 334-5610.

What is Brookside Health & Wellness LLC's specialty?

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

Does Brookside Health & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2143931) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brookside Health & Wellness LLC accept?

Health plans from CareSource list Brookside Health & Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brookside Health & Wellness LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.