NPIMap

Organization Active NPI

Teen Connection

  • Health Service Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1912194390
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
R133142 Issued in MD
Legal business name
TEEN CONNECTION
Practice address
1400 Spring St
Suite 200
Silver Spring, MD 20910-2735
Phone
(301) 565-0914
Fax
(301) 565-0916
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Ms. Karen Butler Colbert, NURSE PRACTITIONER
Title
Executive Director
Phone
(301) 565-0914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X R133142 MD Primary

Addresses

Primary practice location

1400 Spring St
Suite 200
Silver Spring, MD 20910-2735

Mailing address

1400 Spring St
Suite 200
Silver Spring, MD 20910-2735
Phone (301) 565-0914

National Provider Directory

National Provider Directory
Tax ID family
Teen Connection2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1912194390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SPRING ST",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102735",
            "telephone_number": "301-565-0914",
            "fax_number": "301-565-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SPRING ST",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102735",
            "telephone_number": "301-565-0914",
            "fax_number": "301-565-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-565-0914",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "R133142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.