REDICARE MOBILE HEALTH SERVICE
NPI 1427697556
Physician Assistant in Germantown, MD

Q: What is Redicare Mobile Health Service's NPI number?

The NPI number for Redicare Mobile Health Service is 1427697556. It was assigned to this organization in the NPPES registry on January 7, 2020.

Q: What is Redicare Mobile Health Service's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 07, 2020CLIA 21D2196248 · Waiver

12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876(240) 743-8520 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 7, 2023, Aug 25, 2022, Jan 7, 2020 (3 updates tracked since 2020).

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About Redicare Mobile Health Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDICARE MOBILE HEALTH SERVICE (NPI 1427697556) is a healthcare organization registered as a physician assistant in Germantown, Maryland and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Ashley Brothers Tolliver, Ceo/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1427697556

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameREDICARE MOBILE HEALTH SERVICE

Location Address12410 MILESTONE CENTER DR STE 600Germantown, MD 20876-7102

Mailing Address12410 Milestone Center Dr Ste 600Germantown, MD 20876-7102 · (301) 307-5335 · Fax (667) 256-7022

Phone(240) 743-8520

Organization SubpartNo

Authorized OfficialAshley Brothers TolliverCeo/physician Assistant · (240) 743-8520

Enumeration DateJanuary 7, 2020

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedAugust 25, 2022

✔ NPI 1427697556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedNurse PractitionerTaxonomy 363L00000X

12410 MILESTONE CENTER DR STE 600, Germantown, MD 20876

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Other Identifiers 5

OtherPA031239DC · District Of Columbia Physician Assistant License

Other0110007406VA · Va Physician Assistant License

OtherPA86989MD · Md Cds

Other0010-10529NC · Nc Physician Assistant License

OtherC05839MD · Maryland Physician Assistant License

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2196248

Redicare Mobile Health Service · Germantown, MD

Active · expires Oct 14, 2026

CLIA Number21D2196248

Laboratory TypeMobile Urgent Care

Certificate Effective DateOctober 15, 2024

Certificate Expiration DateOctober 14, 2026

Laboratory DirectorAshley Tolliver

Laboratory Phone(301) 307-5335

Laboratory LocationRedicare Mobile Health Service12410 Milestone Center Dr #600, Germantown, MD 20876

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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