Redicare Mobile Health Service

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

REDICARE MOBILE HEALTH SERVICE

Practice address

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102

Phone

(240) 743-8520

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Brothers Tolliver, PA-CNPI 1770969131

Title

Ceo/Physician Assistant

Phone

(240) 743-8520

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Ashley B Tolliver, P.A.-C.

  • Medical Physician Assistant
  • Baltimore, MD
  • NPI 1770969131

  DC

  Medicare reassignment Authorized official
• Alisha Howell, PA-C

  • Physician Assistant
  • Washington, DC
  • NPI 1437511250
  Medicare reassignment NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427697556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DR STE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "301-307-5335",
            "fax_number": "667-256-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DR STE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "240-743-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICARE MOBILE HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BROTHERS",
        "authorized_official_title_or_position": "CEO/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "240-743-8520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISTRICT OF COLUMBIA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA031239",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "0110007406",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD CDS",
            "identifier": "PA86989",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHYSICIAN ASSISTANT LICENSE",
            "identifier": "0010-10529",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHYSICIAN ASSISTANT LICENSE",
            "identifier": "C05839",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rapmund, PTA
• Jonathan Michael Ratliff, MD
• Carol Louise Rayos, CRNA
• Monica Reaves, LCSW-C
• Shruti Reddyreddy
• Alijah Raquel Redman
• Megan A Redmond, M.D.
• Yi Heng Ree, LAC
• Trever Calvin Reed, PT
• James Lon Reeder

• Physician Assistant in Germantown, MD
• Providers in Germantown, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.