Organization Active NPI

Still I Rise, Inc

  • Primary Care Clinic/Center
  • Clinton, MD
National Provider Identifier
1023414828
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
261QP2300X Issued in MD
Legal business name
STILL I RISE, INC
Practice address
9023 Woodyard Rd
Clinton, MD 20735-4208
Phone
(301) 868-4903
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Glenda F Hodges
Title
Ceo
Phone
(301) 868-4903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 261QP2300X MD Primary

Addresses

Primary practice location

9023 Woodyard Rd
Clinton, MD 20735-4208

Mailing address

9015 Woodyard Rd
Clinton, MD 20735-4209
Phone (301) 868-4903

Other identifiers 1

IdentifierTypeStateIssuer
D0061042OtherMDDEPARTMENT OF HEALTH AND MENTAL HYGIENE

Other names 1

  • The Women's Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

9023 Woodyard Rd
Clinton, MD 20735
Phone (240) 318-5052

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1023414828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354209",
            "telephone_number": "301-868-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354208",
            "telephone_number": "301-868-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL I RISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-868-4903",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "261QP2300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND MENTAL HYGIENE",
            "identifier": "D0061042",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Women's Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.