Individual provider Active NPI

Harriett Neverdon-Fair

  • Family Nurse Practitioner
  • Sykesville, MD
National Provider Identifier
1215306121
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R190033 Issued in MD
Practice address
1645 Liberty Rd Ste 202
Sykesville, MD 21784-6542
Phone
(410) 709-4018
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R190033 MD Primary

Addresses

Primary practice location

1645 Liberty Rd Ste 202
Sykesville, MD 21784-6542

Mailing address

1645 Liberty Rd Ste 202
Sykesville, MD 21784-6542
Phone (410) 709-4018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151125000071 MD Practitioner - Nurse Practitioner 2860792728 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopestone Health and Wellness Family CurrentSince Nov 1, 2023 Accepting new patients
Modern Medicine Express Care Current Accepting new patients
Robert a. Pascal Youth & Family Services, Inc. CurrentSince Jan 3, 2024 Accepting new patients
Hamilton Medical & Associates Family CurrentSince Feb 24, 2021 Accepting new patients

Locations

43 Community Pl
Crownsville, MD 21032
Phone (410) 571-4500

741 Annapolis Rd
Gambrills, MD 21054

124 Slade Ave
Ste 101
Pikesville, MD 21208
Phone (410) 452-4325

1645 Liberty Rd
Ste 202
Sykesville, MD 21784
Phone (410) 709-4018

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1215306121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD STE 202",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846542",
            "telephone_number": "410-709-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD STE 202",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846542",
            "telephone_number": "410-709-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVERDON-FAIR",
        "first_name": "HARRIETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R190033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.