Advanced Tele Clinic · Family Nurse Practitioner

6301 Ivy Ln Ste 414, Greenbelt, MD 20770-6357

Overview

Advanced Tele Clinic is a Family Nurse Practitioner (organization) practicing in Greenbelt, Maryland. The National Provider Identifier (NPI) is #1902594179, which was assigned on April 26, 2023, and the registration record was last updated on August 11, 2025. The practitioner's main practice location is at 6301 Ivy Ln Ste 414, Greenbelt, MD 20770-6357; the contact telephone number is 2409307466, and the fax number is 2406920126. The primary taxonomy of Advanced Tele Clinic is Family Nurse Practitioner (363LF0000X), with specialization in Family. The authorized official for Advanced Tele Clinic is Banis Githinji (Dnp).

Provider Information

NPI 1902594179
Entity Type Organization
Organization Name ADVANCED TELE CLINIC
Provider Name ADVANCED TELE CLINIC
Practice Address 6301 Ivy Ln Ste 414
Greenbelt
MD 20770-6357
Practice Telephone 2409307466
Practice Fax Number 2406920126
Mailing Address 6301 Ivy Ln Ste 414
Greenbelt
MD 20770-6357
Mailing Telephone 2409307466
Mailing Fax Number 2406920126
Certification Date 2025-08-11
Enumeration Date 2023-04-26
Last Update Date 2025-08-11
Is Organization Subpart N

Authorized Official Information

Official Name BANIS GITHINJI
Official Title DNP
Credential DNP
Telephone 2409307466

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LF0000XNurse PractitionerFamily193400000X SINGLE SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Advanced Wellness ClinicDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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Location Information

Street Address 6301 IVY LN STE 414
City GREENBELT
State MD
Zip Code 20770-6357
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Samantha Maldonado 6301 Ivy Ln Ste 410, Greenbelt, MD 20770-6357Registered Dietitian2022-12-30
Elaine House 6301 Ivy Ln Ste 410, Greenbelt, MD 20770-6357Registered Dietitian2025-05-22
Janae Nariko Yoshida 6301 Ivy Ln Ste 410, Greenbelt, MD 20770-6357Registered Dietitian2023-01-06
Cameron Keith Carter 6301 Ivy Ln Ste 410, Greenbelt, MD 20770-6357Registered Dietitian2024-06-03

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Theresa Aina Adeyemi 5902 Cherrywood Ter, Greenbelt, MD 20770-1239Home Health Aide2025-11-01
Jyoti Behl Md Pa 7525 Greenway Center Drive, Ste 315, Greenbelt, MD 20770Psychiatry Physician2006-08-04
Aileen De Guia Pacheco 7615 Ora Glen Dr., Greenbelt, MD 20770Family Nurse Practitioner2020-07-14
Peklins Buma Taah 9125 Springhills Lane Apt 204 Greenbelt Md, Greenbelt Md, MD 20770Case Manager/Care Coordinator2017-07-06
Theresia Nkountan 9155 Springhill Ln, Greenbelt, MD 20770-1245Home Health Aide2025-10-27
Khameelah L Tomlin 6201 Greenbelt Rd, U3, Greenbelt, MD 20770Clinical Social Worker2020-06-30
Shawn Ki Na 7525 Greenway Center Dr Ste 102, Greenbelt, MD 20770General Practice Dentistry2016-04-21
Briana Williamson 6201 Greenbelt Rd, #U3, Greenbelt, MD 20770Behavior Technician2018-07-17
Evelyn Wokonwo 6001 Cherrywood Ct, Greenbelt, MD 20770-1253Home Health Aide2025-06-17
Delphine N Chi 6440 Cherrywood Ln, Greenbelt, MD 20770-0702Home Health Aide2025-12-23
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.