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Moonglade Integrative LLC

Primary Care Clinic/Center in Grantsville, MD · enumerated 2023 · authorized official Jennifer Resh, Employee.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568245595

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Registry record

Entity type Organization (Type 2)
Legal business name Moonglade Integrative LLC
Practice address 3233b Chestnut Ridge Rd, Grantsville, MD, 21536
Enumeration date Aug 15, 2023
Last updated in NPPES Feb 12, 2024

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Resh
Title Employee

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Moonglade Integrative LLC?
Moonglade Integrative LLC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-12.