The Iep Team, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

THE IEP TEAM, LLC

Practice address

9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785

Phone

(301) 245-1882

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Patrice E. Watson

Title

Chief Executive Officer

Phone

(301) 245-1882

Specialties & licenses 1

Addresses

Other names 1

• The IEP TEAM, LLC Former legal business name

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1568024644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-245-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-245-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IEP TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-245-1882",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The IEP TEAM, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.