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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PROMETHEAN HEALTHCARE, LLC
NPI 1639005267
Nurse Practitioner - Primary Care in Baltimore, MD

Active since June 22, 2026
6609 FAIRMOUNT AVE, BALTIMORE, MD 21215(917) 861-2531 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Promethean Healthcare, Llc NPPES

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

PROMETHEAN HEALTHCARE, LLC (NPI 1639005267) is a healthcare organization registered as a primary care in Baltimore, Maryland and active in the NPI registry since June 2026. The organization lists Kisun Peters-diaz, Founder / Owner, as its authorized official.

NPPES Registry Identity

NPI1639005267
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePROMETHEAN HEALTHCARE, LLC
Location Address6609 FAIRMOUNT AVEBaltimore, MD 21215-1906
Mailing Address1019 Midland AveYork, PA 17403-3339
Phone(917) 861-2531
Organization SubpartNo
Authorized OfficialKisun Peters-diazFounder / Owner · (917) 861-2531
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1639005267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
6609 FAIRMOUNT AVE, Baltimore, MD 21215
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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

Other Providers at the Same Location NPPES

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

EUREKA HEALTH SERVICES, LLC
Substance Abuse Rehabilitation Facility
6609 FAIRMOUNT AVE
BALTIMORE, MD 21215
Baltimore City (443) 499-5600

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 Promethean Healthcare, LLC's NPI number?

The NPI number for Promethean Healthcare, LLC is 1639005267. It was assigned to this organization in the NPPES registry on June 22, 2026.

Where is Promethean Healthcare, LLC located?

Promethean Healthcare, LLC is located at 6609 Fairmount Ave, Baltimore, MD 21215. The listed phone number is (917) 861-2531.

What is Promethean Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Promethean Healthcare, LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.