NPIMap

Organization Active NPI

1St Step Medical & 1St Step Greenmed, LLC

  • Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1003553272
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
1ST STEP MEDICAL & 1ST STEP GREENMED, LLC
Practice address
420 Crain Hwy S Ste 2
Glen Burnie, MD 21061-3657
Phone
(410) 582-8170
Fax
(866) 401-0775
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tessa L Jones, NPNPI 1124398185
Title
Owner
Phone
(410) 582-8170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

420 Crain Hwy S Ste 2
Glen Burnie, MD 21061-3657

Mailing address

PO Box 1538
Glen Burnie, MD 21060-1538
Phone (410) 582-8170

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1003553272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1538",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210601538",
            "telephone_number": "410-582-8170",
            "fax_number": "866-401-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S STE 2",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "410-582-8170",
            "fax_number": "866-401-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST STEP MEDICAL & 1ST STEP GREENMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-582-8170",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.