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CANNAKUSH CONSULTING OFFICE LLC
NPI 1215528369
Clinic/Center - Primary Care in Baltimore, MD

Active since February 01, 2021CLIA 21D2215288 · Waiver
5411 OLD FREDERICK RD STE 18, BALTIMORE, MD 21229(443) 750-0222 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, Jan 5, 2024, Feb 1, 2021 (3 updates tracked since 2021).

About Cannakush Consulting Office Llc NPPES

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

CANNAKUSH CONSULTING OFFICE LLC (NPI 1215528369) is a healthcare organization registered as a primary care in Baltimore, Maryland and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Betsy Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1215528369
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANNAKUSH CONSULTING OFFICE LLC
Location Address5411 OLD FREDERICK RD STE 18Baltimore, MD 21229-2126
Mailing Address5411 Old Frederick Rd Ste 18Baltimore, MD 21229-2126 · (443) 750-0222
Phone(443) 750-0222
Organization SubpartNo
Authorized OfficialBetsy MooreOwner · (443) 750-0222
Enumeration DateFebruary 1, 2021
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1215528369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedNurse PractitionerTaxonomy 363L00000X
5411 OLD FREDERICK RD STE 18, Baltimore, MD 21229
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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 21D2215288

Cannakush Consulting Office LLC · Baltimore, MD
Active · expires Mar 1, 2027
CLIA Number21D2215288
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorBetsy L. Moore
Laboratory Phone(443) 769-8368
Laboratory LocationCannakush Consulting Office LLC5411 Old Frederick Rd #18, Baltimore, MD 21229
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

BRIGHT FUTURES AHEAD LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5411 OLD FREDERICK RD STE 18
BALTIMORE, MD 21229
Baltimore City (667) 802-5335
BETSY WHITE NP
Nurse Practitioner
5411 OLD FREDERICK RD STE 18
BALTIMORE, MD 21229
Baltimore City (443) 750-0222
BRIGHT FUTURES AHEAD LLC
Case Management
5411 OLD FREDERICK RD STE 18
BALTIMORE, MD 21229
Baltimore City (443) 250-9950
CANNAKUSH CONSULTING OFFICE LLC
Nurse Practitioner (Psychiatric/Mental Health)
5411 OLD FREDERICK RD STE 18
BALTIMORE, MD 21229
Baltimore City (443) 750-0222

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 Cannakush Consulting Office LLC's NPI number?

The NPI number for Cannakush Consulting Office LLC is 1215528369. It was assigned to this organization in the NPPES registry on February 1, 2021.

Where is Cannakush Consulting Office LLC located?

Cannakush Consulting Office LLC is located at 5411 Old Frederick Rd Ste 18, Baltimore, MD 21229. The listed phone number is (443) 750-0222.

What is Cannakush Consulting Office LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cannakush Consulting Office LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2215288) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cannakush Consulting Office LLC was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.