AUTHENTIC RELEASE INC
NPI 1720869548
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD

Q: What is Authentic Release Inc's NPI number?

The NPI number for Authentic Release Inc is 1720869548. It was assigned to this organization in the NPPES registry on October 9, 2023.

Q: What is Authentic Release Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 09, 2023CLIA 21D2298195 · Waiver

1406B CRAIN HWY S STE 306, GLEN BURNIE, MD 21061(301) 804-0344(301) 349-1370 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Authentic Release Inc NPPES

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

AUTHENTIC RELEASE INC (NPI 1720869548) is a healthcare organization registered as a psychiatric/mental health in Glen Burnie, Maryland and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Shannon Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1720869548

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameAUTHENTIC RELEASE INC

Location Address1406B CRAIN HWY S STE 306Glen Burnie, MD 21061-4094

Mailing Address1406b Crain Hwy S Ste 306Glen Burnie, MD 21061-4094 · (301) 804-0344 · Fax (301) 349-1370

Phone(301) 804-0344

Fax(301) 349-1370

Organization SubpartNo

Authorized OfficialShannon MartinOwner · (301) 804-0344

Enumeration DateOctober 9, 2023

NPPES CertifiedOctober 9, 2023

✔ NPI 1720869548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

1406B CRAIN HWY S STE 306, Glen Burnie, MD 21061

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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 21D2298195

Authentic Release Inc · Glen Burnie, MD

Active · expires Jan 29, 2028

CLIA Number21D2298195

Laboratory TypePhysician Office

Certificate Effective DateJanuary 30, 2026

Certificate Expiration DateJanuary 29, 2028

Laboratory DirectorShannon N. Martin

Laboratory Phone(301) 804-0344

Laboratory LocationAuthentic Release Inc1406B Crain Hwy S #306, Glen Burnie, MD 21061

CLIA data matches this NPI record on: Name Phone

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

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 Authentic Release Inc's NPI number?

The NPI number for Authentic Release Inc is 1720869548. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Authentic Release Inc located?

Authentic Release Inc is located at 1406B Crain Hwy S Ste 306, Glen Burnie, MD 21061. The listed phone number is (301) 804-0344.

What is Authentic Release Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Authentic Release Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2298195) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Authentic Release Inc was last updated on October 9, 2023. 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.