IVYMOUNT CLINIC LLC
NPI 1740060730
Nurse Practitioner - Family in Baltimore, MD
About Ivymount Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVYMOUNT CLINIC LLC (NPI 1740060730) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Renee Hochman, Crnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 21D2257291
Ivymount Clinic LLC · Baltimore, MDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ivymount Clinic LLC's NPI number?
The NPI number for Ivymount Clinic LLC is 1740060730. It was assigned to this organization in the NPPES registry on October 5, 2023.
Where is Ivymount Clinic LLC located?
Ivymount Clinic LLC is located at 6309 Ivymount Rd, Baltimore, MD 21209. The listed phone number is (410) 746-2126.
What is Ivymount Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Ivymount Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2257291) is associated with this NPI, valid through April 2, 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 Ivymount Clinic LLC was last updated on October 5, 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.
# Ivymount Clinic Llc · NPI 1740060730
Family organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since October 5, 2023.
## Identity
- **NPI:** 1740060730 (Entity type: Organization)
- **Enumerated:** October 5, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Renee Hochman, CRNP
## Practice location
- **Address:** 6309 IVYMOUNT RD, Baltimore, MD 21209-3326
- **Phone:** (410) 746-2126
## Record status
- **NPPES last updated:** October 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740060730) · Data from the CMS NPPES public registry.