ADVANCED TELE CLINIC
NPI 1902594179
Nurse Practitioner - Family in Greenbelt, MD

Q: What is Advanced Tele Clinic's NPI number?

The NPI number for Advanced Tele Clinic is 1902594179. It was assigned to this organization in the NPPES registry on April 26, 2023. The provider is doing business as Advanced Wellness Clinic.

Q: What is Advanced Tele Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 26, 2023CLIA 21D2318428 · Waiver

6301 IVY LN STE 414, GREENBELT, MD 20770(240) 930-7466(240) 692-0126 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2025, Oct 6, 2024 (2 updates tracked since 2024).

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About Advanced Tele Clinic NPPES

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

ADVANCED TELE CLINIC (NPI 1902594179), doing business as Advanced Wellness Clinic, is a healthcare organization registered as a family in Greenbelt, Maryland and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Banis Githinji, Dnp, as its authorized official.

NPPES Registry Identity

NPI1902594179

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameADVANCED TELE CLINIC

Location Address6301 IVY LN STE 414Greenbelt, MD 20770-6357

Mailing Address6301 Ivy Ln Ste 414Greenbelt, MD 20770-6357 · (240) 930-7466 · Fax (240) 692-0126

Phone(240) 930-7466

Fax(240) 692-0126

Organization SubpartNo

Authorized OfficialBanis GithinjiDnp · (240) 930-7466

Enumeration DateApril 26, 2023

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1902594179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

6301 IVY LN STE 414, Greenbelt, MD 20770

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Other Names 1

Doing Business AsAdvanced Wellness Clinic

Group Practice 1

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 21D2318428

Advanced Teleclinic · Lanham, MD

Active · expires Feb 10, 2027

CLIA Number21D2318428

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 11, 2025

Certificate Expiration DateFebruary 10, 2027

Laboratory DirectorBanis Githinji

Laboratory Phone(240) 930-7466

Laboratory LocationAdvanced Teleclinic9420 Annapolis Rd Suite 213, Lanham, MD 20706

CLIA data matches this NPI record on: Phone

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

Other Providers at the Same Location NPPES

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

BANIS GITHINJI FNP

Nurse Practitioner (Family)

6301 IVY LN STE 414
GREENBELT, MD 20770

Prince George's County (240) 575-0437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Tele Clinic's NPI number?

The NPI number for Advanced Tele Clinic is 1902594179. It was assigned to this organization in the NPPES registry on April 26, 2023. The provider is doing business as Advanced Wellness Clinic.

Where is Advanced Tele Clinic located?

Advanced Tele Clinic is located at 6301 Ivy Ln Ste 414, Greenbelt, MD 20770. The listed phone number is (240) 930-7466.

What is Advanced Tele Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Advanced Tele Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2318428) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Tele Clinic was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.