Manchester Medical LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MANCHESTER MEDICAL LLC

Practice address

804 Pershing Dr Ste 110
Silver Spring, MD 20910-4439

Phone

(240) 338-3290

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Tess Lee, CRNPNPI 1396230926

Title

Nurse Practitioner/Owner

Phone

(240) 338-3290

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Tess Lee, FNP-BC

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1396230926
  NPD Authorized official

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1982437521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20355 CENTURY BLVD # M",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741110",
            "telephone_number": "240-338-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PERSHING DR STE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104439",
            "telephone_number": "240-338-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "240-338-3290",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryanna P Mananga
• Jules Henry Mananga
• Cherlexia Nakeisha Manarino, ARPN
• Misgana Manaye
• Gishawn A Mance, PH.D.
• Prudence Ashie Mancho, FNP-BC
• Srinivas Mandava, M.D.
• Emanuel Mandel, LCSWC
• Mandele Therapeutic Solutions LLC
• Robertine Manefo

• Health Service Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.