Individual provider Active NPI

Elizabeth Marie McDaniel, NP

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1225623093
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R225491 Issued in MD
Practice address
2434 W Belvedere Ave
Baltimore, MD 21215-5267
Phone
(706) 536-1444
NPI assigned
Mar 4, 2021
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R225491 MD Primary

Addresses

Primary practice location

2434 W Belvedere Ave
Baltimore, MD 21215-5267

Mailing address

406 Obrecht Rd
Sykesville, MD 21784-7628
Phone (706) 536-1444

Other practice location 1

406 Obrecht Rd
Sykesville, MD 21784-7628
Phone (706) 536-1444

Other practice location 2

1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599
Phone (866) 949-0108

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
I20210622001167 MD Practitioner - Nurse Practitioner 3476954991 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridginglife, Inc. CurrentSince Jun 16, 2021 Accepting new patients
Bridginglife, Inc. CurrentSince Jun 16, 2021 Accepting new patients

Locations

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

292 Stoner Ave
Westminster, MD 21157
Phone (443) 974-8725

Interoperability endpoints

  • Direct secure messaging: ms_emdani6@landmarkhealth-direct.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1225623093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 OBRECHT RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847628",
            "telephone_number": "706-536-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155267",
            "telephone_number": "706-536-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Obrecht Rd",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "217847628",
            "country_code": "US",
            "telephone_number": "706-536-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Towne Centre Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013599",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R225491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.