Vanessa Allen MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VANESSA ALLEN MD LLC

Practice address

12200 Annapolis Rd
Suite 115
Glenn Dale, MD 20769-9182

Phone

(301) 805-7084

Fax

(301) 805-7043

NPI assigned

Feb 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Hugh Romney, CPA

Title

Cfo

Phone

(202) 270-3494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

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

• Vanessa Maria Allen, M.D.

  • Family Medicine Physician
  • Glenn Dale, MD
  • NPI 1912059320

  DC

  Medicare reassignment NPD
• Lynn Allison, PA-C

  • Physician Assistant
  • Greenbelt, MD
  • NPI 1588091607
  NPD (past)
• Mary Grace Legaspi Wild, MSN, RN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Glenn Dale, MD
  • NPI 1528927647
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1750520235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "SUITE 115",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-805-7084",
            "fax_number": "301-805-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "SUITE 115",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-805-7084",
            "fax_number": "301-805-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA ALLEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "ROMNEY",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "202-270-3494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Turay
• Darlington Nwoke Uchechukwu
• Cynthia Uchendu
• United States Navy
• Valerie Callender M. D. PC
• Visionmd, LLC
• Branick Ngombi Wangia
• Beth S Warner, PH.D.
• Patricia A. Warrick, LCSW-C
• R. White-Smith, M.ED

• Family Medicine Physician in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.