Organization Active NPI

Medical Paraclete

  • Health & Wellness Coach
  • Baltimore, MD
National Provider Identifier
1972311066
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
MEDICAL PARACLETE
Practice address
6724 Glenkirk Rd
Baltimore, MD 21239-1410
Phone
(443) 900-3184
Fax
(512) 559-7040
NPI assigned
Dec 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Authorized official

Name
Dr. Wanda Simmons Clemmons, MDNPI 1275615775
Title
Ceo
Phone
(443) 900-3184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

6724 Glenkirk Rd
Baltimore, MD 21239-1410

Mailing address

808 Gleneagles CT # 20069
Towson, MD 21286-2205
Phone (833) 433-8900

Other names 1

  • Compess Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

808 Gleneagles Ct
#20069
Towson, MD 21286

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1972311066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GLENEAGLES CT # 20069",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862205",
            "telephone_number": "833-433-8900",
            "fax_number": "512-559-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 GLENKIRK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391410",
            "telephone_number": "443-900-3184",
            "fax_number": "512-559-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARACLETE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONS CLEMMONS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-900-3184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compess Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.