PROACTIVE PRIMARY CARE
NPI 1669037008
Nurse Practitioner - Primary Care in Cumberland, MD

Q: What is Proactive Pain And Neurology, LLC's NPI number?

The NPI number for Proactive Pain And Neurology, LLC is 1669037008. It was assigned to this organization in the NPPES registry on May 1, 2019. The provider is doing business as Proactive Primary Care.

Q: What is Proactive Pain And Neurology, LLC's specialty?

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

Active since May 01, 2019CLIA 21D2166906 · Waiver

925 BISHOP WALSH RD, CUMBERLAND, MD 21502(240) 362-7025(240) 362-7064 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2020, Dec 10, 2019, May 5, 2019 (3 updates tracked since 2019).

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About Proactive Primary Care NPPES

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

PROACTIVE PRIMARY CARE (NPI 1669037008) is a healthcare organization registered as a primary care in Cumberland, Maryland and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through May 28, 2027, maintains a secondary practice location in Cumberland, and lists Dennis Daniel Dey, Owner, as its authorized official.

NPPES Registry Identity

NPI1669037008

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NamePROACTIVE PAIN AND NEUROLOGY, LLC

Location Address925 BISHOP WALSH RDCumberland, MD 21502-1845

Mailing AddressPo Box 1602Cumberland, MD 21501-1602 · (240) 362-7025 · Fax (240) 362-7064

Phone(240) 362-7025

Fax(240) 362-7064

Organization SubpartYesParent: 1417460619

Authorized OfficialDennis Daniel DeyOwner · (240) 362-7025

Enumeration DateMay 1, 2019

Last NPPES UpdateDecember 11, 20203 updates tracked since enumeration

NPPES CertifiedDecember 11, 2020

✔ NPI 1669037008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

925 BISHOP WALSH RD, Cumberland, MD 21502

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Other Names 1

Doing Business AsProactive Primary Care

Secondary Practice Location 1

Location 1921 Seton Dr Ste FandgCumberland, MD 21502-1852 · Phone (240) 522-0098 · Fax (240) 522-0099

Other Identifiers 3

OtherDL77MD · Carefirst

Medicaid392004600MD

Other622188MD · Medicare

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

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 21D2166906

Proactive Primary Care · Cumberland, MD

Active · expires May 28, 2027

CLIA Number21D2166906

Laboratory TypePractitioner Other

Certificate Effective DateMay 29, 2025

Certificate Expiration DateMay 28, 2027

Laboratory DirectorGreta Cain

Laboratory Phone(240) 362-7099

Laboratory LocationProactive Primary Care925 Bishop Walsh Dr, Cumberland, MD 21502

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 15

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

CONNIE JO MORRIS MSN, CRNP, FNP-BC

Nurse Practitioner (Family)