HAYWOOD MEDICAL, LLC
NPI 1922777861
Nurse Practitioner - Adult Health in Baltimore, MD

Active since September 13, 2021CLIA 21D2227099 · Waiver
3910 5TH ST, BALTIMORE, MD 21225(410) 989-9891 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Haywood Medical, Llc NPPES

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

HAYWOOD MEDICAL, LLC (NPI 1922777861) is a healthcare organization registered as an adult health in Baltimore, Maryland and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Michelle V Haywood, Owner, as its authorized official.

NPPES Registry Identity

NPI1922777861
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameHAYWOOD MEDICAL, LLC
Location Address3910 5TH STBaltimore, MD 21225-2036
Mailing AddressPo Box 3004Baltimore, MD 21229-0004 · (410) 989-9891
Organization SubpartNo
Authorized OfficialMichelle V HaywoodOwner · (443) 726-3448
Enumeration DateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
✔ NPI 1922777861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
3910 5TH ST, Baltimore, MD 21225

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 21D2227099

Haywood Medical LLC · Baltimore, MD
Active · expires Jun 7, 2027
CLIA Number21D2227099
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorMichelle Haywood
Laboratory Phone(410) 989-9891
Laboratory LocationHaywood Medical LLC3910 5th Street, Baltimore, MD 21225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3910 5TH ST
BALTIMORE, MD 21225

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 Haywood Medical, LLC's NPI number?

The NPI number for Haywood Medical, LLC is 1922777861. It was assigned to this organization in the NPPES registry on September 13, 2021.

Where is Haywood Medical, LLC located?

Haywood Medical, LLC is located at 3910 5th St, Baltimore, MD 21225. The listed phone number is (410) 989-9891.

What is Haywood Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Haywood Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2227099) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Haywood Medical, LLC was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.