OrganizationActive
Advanced Tele Clinic
NPI 1902594179 · Family Nurse Practitioner · Greenbelt, MD
Provider details
- NPI number
- 1902594179
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Banis Githinji, Dnp(240) 930-7466
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
6301 Ivy Ln Ste 414
Greenbelt, MD 20770-6357
Phone: (240) 930-7466
Fax: (240) 692-0126
Street-level locationGet directions
Mailing address
6301 Ivy Ln Ste 414
Greenbelt, MD 20770-6357
Other names (DBA / former)
- Doing business as
- Advanced Wellness Clinic
Registry dates
- Enumerated
- 2023-04-26
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.