OrganizationActive
Lifebridge Health
NPI 1164884466 · Medical Specialty Clinic/Center · Nottingham, MD
Provider details
- NPI number
- 1164884466
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Wright-Sisk, Director(443) 422-9941
- License
- R204261 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
8114 Sandpiper Cir
Suite 206
Nottingham, MD 21236-4934
Phone: (410) 933-4923
Fax: (410) 933-8659
Street-level locationGet directions
Mailing address
8114 Sandpiper Cir
Nottingham, MD 21236-4934
Registry dates
- Enumerated
- 2016-03-25
- Last updated
- 2021-08-27
- Certified
- 2021-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.