Proactive Wellnessnp
NPI 1124704085 · Multi-Specialty Clinic/Center · Columbia, MD
Proactive Wellnessnp is a Multi-Specialty Clinic/Center organization in Columbia, MD (NPI 1124704085).
Provider details
- NPI number
- 1124704085
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kondi Walterssmith, Ceo/ Nurse Practitioner(301) 741-0307
Specialties & taxonomies
Ambulatory Health Care Facilities
- Recovery Care Clinic/Center261QR0800X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Proactive Wellness NP
- Doing business as
- Proactive Wellness NP
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Proactive Wellnessnp's NPI number?
- Proactive Wellnessnp's National Provider Identifier (NPI) is 1124704085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Wellnessnp?
- Proactive Wellnessnp is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive Wellnessnp located?
- Proactive Wellnessnp's practice location on file with NPPES is 12114 Blue Flag Way, Columbia, MD 21044.
- What is Proactive Wellnessnp's phone number?
- The practice phone number listed in the NPPES registry for Proactive Wellnessnp is (301) 741-0307.
- Who is the authorized official for Proactive Wellnessnp?
- The authorized official listed on Proactive Wellnessnp's NPPES record is Kondi Walterssmith, Ceo/ Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Wellnessnp's NPI active?
- Yes — Proactive Wellnessnp's NPI (1124704085) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.