Organization Active NPI

Radiance Health and Wellness Clinic LLC

  • Primary Care Clinic/Center
  • Rockville, MD
National Provider Identifier
1801682513
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RADIANCE HEALTH AND WELLNESS CLINIC LLC
Practice address
1451 Rockville Pike Ste 250
Rockville, MD 20852-1486
Phone
(301) 272-5117
NPI assigned
Apr 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Melodie Mbebi
Title
Provider
Phone
(301) 272-5117

Specialties & licenses 1

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

Addresses

Primary practice location

1451 Rockville Pike Ste 250
Rockville, MD 20852-1486

Mailing address

1451 Rockville Pike Ste 250
Rockville, MD 20852-1486
Phone (301) 272-5117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1801682513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROCKVILLE PIKE STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521486",
            "telephone_number": "301-272-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ROCKVILLE PIKE STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521486",
            "telephone_number": "301-272-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "MBEBI",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-272-5117"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.