IVYMOUNT CLINIC LLC
NPI 1740060730
Nurse Practitioner - Family in Baltimore, MD
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 21D2257291
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-02-2028
About IVYMOUNT CLINIC LLC
This page provides the complete NPI Profile along with additional information for Ivymount Clinic Llc, a provider established in Baltimore, Maryland operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1740060730 assigned on October 2023. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Renee Hochman (Crnp)
- NPI
- 1740060730 Verify this NPI
- Provider Name
- IVYMOUNT CLINIC LLC
- Entity Type
- Organization
- Location Address
- 6309 IVYMOUNT RD BALTIMORE, MD 21209
- Location Phone
- (410) 746-2126
- Mailing Address
- 6309 IVYMOUNT RD BALTIMORE, MD 21209
- Mailing Phone
- (410) 746-2126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2023
- Last Update Date
- 10-05-2023
- Code Navigator
A nurse practitioner (NP) like Ivymount Clinic 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
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2257291
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 03, 2026
- Certificate Expiration Date
- April 02, 2028
- Laboratory Director
- RENEE HOCHMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ivymount Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740060730, enumerated as an "organization" on October 05, 2023.
The provider is located at 6309 IVYMOUNT RD BALTIMORE, MD 21209 and the phone number is (410) 746-2126.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
