REVERED HOLISTIC HEALTHCARE LLC
NPI 1700377876
Nurse Practitioner - Family in Towson, MD

NPI Status: Active since May 24, 2018

Contact Information

1045 TAYLOR AVE STE 44A
TOWSON, MD
ZIP 21286
Phone: (443) 621-2203
Fax: (410) 381-0216

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  • Organization
  • Nurse Practitioner
  • Family

About REVERED HOLISTIC HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Revered Holistic Healthcare Llc, a provider established in Towson, Maryland operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1700377876 assigned on May 2018. The practitioner's primary taxonomy code is 363LF0000X with license number R194691 (MD). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Revered Holistic Healthcare Llc. The authorized official of this NPI record is Adetutu Awodipe Fnp (Owner)

NPI
1700377876
Provider Legal Name
REVERED-HOLISTIC HEALTHCARE LLC
Other Organization Name
REVERED HOLISTIC HEALTHCARE LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1045 TAYLOR AVE STE 44A TOWSON, MD 21286
Location Phone
(443) 621-2203
Location Fax
(410) 381-0216
Mailing Address
4518 RUNNYMEADE RD OWINGS MILLS, MD 21117
Mailing Phone
(443) 621-2203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2018
Last Update Date
06-01-2023
Code Navigator

A nurse practitioner (NP) like Revered Holistic Healthcare Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R194691
License State
MD

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADETUTU AWODIPE FNP

Authorized Official Title
OWNER
Authorized Official Phone
(443) 621-2203

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700377876
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27006714814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 6 + 7 + 1 + 4 + 8 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1700377876 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

REVERED-HOLISTIC HEALTHCARE LLC

Clinic/Center

(Mental Health (Including Community Mental Health Center))

1045 TAYLOR AVE STE 44A
TOWSON, MD
ZIP 21286

(410) 399-4240

SAFE HAVEN COMMUNITY SERVICES INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1045 TAYLOR AVE STE 44A
TOWSON, MD
ZIP 21286

(410) 399-4240

ADETUTU AWODIPE NP

Nurse Practitioner

(Psychiatric/Mental Health)

1045 TAYLOR AVE STE 44A
TOWSON, MD
ZIP 21286

(103) 994-2404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700377876, enumerated as an "organization" on May 24, 2018.

The provider is located at 1045 TAYLOR AVE STE 44A TOWSON, MD 21286 and the phone number is (443) 621-2203.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.