SHORELINE WELLNESS AND PRIMARY CARE LLC
NPI 1376244707
Family Medicine in Berlin, MD

Q: What is Shoreline Wellness And Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 13, 2023CLIA 21D2284187 · Waiver

314 FRANKLIN AVE STE 301, BERLIN, MD 21811(410) 513-4046 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Jun 8, 2023, Mar 13, 2023 (3 updates tracked since 2023).

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About Shoreline Wellness And Primary Care Llc NPPES

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

SHORELINE WELLNESS AND PRIMARY CARE LLC (NPI 1376244707) is a healthcare organization registered as a family medicine in Berlin, Maryland and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Melissa Emmerich, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1376244707

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSHORELINE WELLNESS AND PRIMARY CARE LLC

Location Address314 FRANKLIN AVE STE 301Berlin, MD 21811-1238

Mailing Address314 Franklin Ave Ste 301Berlin, MD 21811-1238 · (667) 288-3063 · Fax (833) 471-3424

Phone(410) 513-4046

Organization SubpartNo

Authorized OfficialMelissa EmmerichManaging Member · (667) 288-3063

Enumeration DateMarch 13, 2023

Last NPPES UpdateApril 30, 20243 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1376244707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

314 FRANKLIN AVE STE 301, Berlin, MD 21811

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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

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 21D2284187

Shoreline Wellness And Primary Care LLC · Berlin, MD

Active · expires Jun 19, 2027

CLIA Number21D2284187

Laboratory TypePhysician Office

Certificate Effective DateJune 20, 2025

Certificate Expiration DateJune 19, 2027

Laboratory DirectorMelissa Youtz

Laboratory Phone(443) 513-4046

Laboratory LocationShoreline Wellness And Primary Care LLC314 Franklin Avenue #301, Berlin, MD 21811

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

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

MELISSA ANNE YOUTZ CRNP

Nurse Practitioner (Family)

314 FRANKLIN AVE STE 301
BERLIN, MD 21811

Worcester County (667) 288-3063

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 Shoreline Wellness And Primary Care LLC's NPI number?

The NPI number for Shoreline Wellness And Primary Care LLC is 1376244707. It was assigned to this organization in the NPPES registry on March 13, 2023.

Where is Shoreline Wellness And Primary Care LLC located?

Shoreline Wellness And Primary Care LLC is located at 314 Franklin Ave Ste 301, Berlin, MD 21811. The listed phone number is (410) 513-4046.

What is Shoreline Wellness And Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shoreline Wellness And Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2284187) is associated with this NPI, valid through June 19, 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 Shoreline Wellness And Primary Care LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.