OrganizationActive
Nirvana Holistic Spa LLC
NPI 1831900141 · Family Medicine Physician · Berwyn Heights, MD
Provider details
- NPI number
- 1831900141
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Nirvana Holistic Spa
- Organization subpart
- Yes
- Authorized official
- Shaundel Knights, Owner(301) 798-7687
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Naturopath175F00000X
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
6201 Greenbelt Rd Ste U7
Berwyn Heights, MD 20740-2361
Phone: (301) 798-7687
Fax: (800) 297-9152
Street-level locationGet directions
Mailing address
6201 Greenbelt Rd Ste U7
Berwyn Heights, MD 20740-2361
Other names (DBA / former)
- Doing business as
- Nirvana Holistic Medicine
- Doing business as
- Nirvana Holistic Medicine
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.