Xpress Medical Specialties, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

XPRESS MEDICAL SPECIALTIES, LLC

Practice address

12200 Annapolis Rd Ste 225
Glenn Dale, MD 20769-9182

Phone

(301) 390-6232

Fax

(301) 390-6243

NPI assigned

Apr 1, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Rice

Title

Practice Administrator

Phone

(301) 390-6232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1285196295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 225",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-390-6232",
            "fax_number": "301-390-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 225",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-390-6232",
            "fax_number": "301-390-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS MEDICAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-390-6232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedi Wickham
• Mary Grace Legaspi Wild, MSN, RN, AGPCNP-BC
• Alexis Wilkerson
• Monica Nicole Williams
• Elisha Nicole Wilson
• Zenith Medical Care, LLC

• Pain Clinic/Center in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Pain Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.