Healthcare Provider Details

I. General information

NPI: 1215686951
Provider Name (Legal Business Name): APOSTLE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19401 WALTER JOHNSON RD STE 200
GERMANTOWN MD
20874-2601
US

IV. Provider business mailing address

PO BOX 34422
BETHESDA MD
20827-0422
US

V. Phone/Fax

Practice location:
  • Phone: 240-449-3094
  • Fax: 240-489-4415
Mailing address:
  • Phone: 240-449-3094
  • Fax: 240-489-4415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LYLE MCNEILL CRIPPEN
Title or Position: CREDENTIALING
Credential:
Phone: 240-335-2247