Active NPI
Cardinal Direction Health
- Family Nurse Practitioner
- Ellicott City, MD
National Provider Identifier
1205636313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CARDINAL DIRECTION HEALTH
- Practice address
- 3204 Saint Johns LN
Ellicott City, MD 21042-2604 - Phone
- (202) 679-1758
- NPI assigned
- Mar 17, 2025
- Organization subpart
- Yes
- Parent organization
- TRUENORTH SOLUTIONS GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaclyn Felicia Tozaki, FNP
- Title
- Ceo
- Phone
- (667) 261-3085
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3204 Saint Johns LN
Ellicott City, MD 21042-2604
Mailing address
3204 Saint Johns LN
Ellicott City, MD 21042-2604
Phone (202) 679-1758
National Provider Directory
National Provider Directory- Part of
- Truenorth Solutions Group
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Other Specialist/Technologist
- Ellicott City, MD
- NPI 1407656515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1205636313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 SAINT JOHNS LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422604",
"telephone_number": "202-679-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 SAINT JOHNS LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422604",
"telephone_number": "202-679-1758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL DIRECTION HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRUENORTH SOLUTIONS GROUP",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "TOZAKI",
"authorized_official_first_name": "JACLYN",
"authorized_official_middle_name": "FELICIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "667-261-3085",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.