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CLOSEKNIT
NPI 1548967128
Family Medicine in Baltimore, MD

Active since February 14, 2023CLIA 09D2295067 · Waiver
1501 S CLINTON ST, BALTIMORE, MD 21224(866) 233-6925 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Sep 9, 2023, Feb 14, 2023 (3 updates tracked since 2023).

About Closeknit NPPES

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

CLOSEKNIT (NPI 1548967128) is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Mary Jane Favazza, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548967128
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATLAS HEALTH, LLC
Location Address1501 S CLINTON STBaltimore, MD 21224-5730
Mailing Address1501 S Clinton StBaltimore, MD 21224-5730 · (866) 233-6925
Phone(866) 233-6925
Organization SubpartNo
Authorized OfficialMary Jane FavazzaCeo · (410) 528-7109
Enumeration DateFebruary 14, 2023
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1548967128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1501 S CLINTON ST, Baltimore, MD 21224
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Other Names 2

Doing Business AsCloseknit
Doing Business AsCloseknit - Uc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 09D2295067

Closeknit Health · Washington, DC
Active · expires Dec 4, 2027
CLIA Number09D2295067
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorLisa Lacarrubba
Laboratory Phone(866) 233-6925
Laboratory LocationCloseknit Health1101 K Street NW 10th Floor, Washington, DC 20005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2307438

Closeknit Health · Baltimore, MD
Expired · Jul 8, 2026
CLIA Number21D2307438
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorLisa Lacarrubba
Laboratory Phone(866) 233-6925
Laboratory LocationCloseknit Health1501 S Clinton St Suite 100, Baltimore, MD 21224
CLIA data matches this NPI record on: Address 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.

DR. TIMOTHY ANTHONY BUCKLEY MD
Family Medicine
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 763-2211
MRS. JESSICA LAKE BUHR CRNP
Nurse Practitioner (Gerontology)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (866) 763-2211
ALLISON PIEDMONTE RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (610) 509-0962
JESSICA HURLEY
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 521-2455
MS. THERESE CHRISTINE DAVIS CCM RN
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 724-2628
KELLY KENNEDY
Registered Nurse
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (443) 370-7233
KAREN LEE KEHRING
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 605-2648
MRS. CHRISTINA E CUSTIS
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (410) 763-6386

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 Atlas Health, LLC's NPI number?

The NPI number for Atlas Health, LLC is 1548967128. It was assigned to this organization in the NPPES registry on February 14, 2023. The provider is doing business as Closeknit and CloseKnit - UC.

Where is Atlas Health, LLC located?

Atlas Health, LLC is located at 1501 S Clinton St, Baltimore, MD 21224. The listed phone number is (866) 233-6925.

What is Atlas Health, LLC's specialty?

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

Does Atlas Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 09D2295067) is associated with this NPI, valid through December 4, 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 Atlas Health, LLC was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.