Tridonna Deval Brandford, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R122316 Issued in MD

Practice address

7 Mink Hollow CT
Owings Mills, MD 21117-4868

Phone

(410) 654-8610

NPI assigned

Nov 12, 2013

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthwell, NP LLCGroup PAC ID 4880924760, 2 clinicians

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Jewish Community Services IncGroup PAC ID 0345141362, 12 clinicians

Amber Health Care, LLCGroup PAC ID 0941795074, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Amber Health Care LLC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1881584704
  Medicare reassignment Care Compare group NPD Authorized official
• Healthwell, NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, MD
  • NPI 1467009423
  Medicare reassignment Care Compare group NPD Authorized official
• Jewish Community Services, Inc

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1023000320
  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment Care Compare group NPD
• Della Behavioral Health Services

  dba CounterPoint Health Services

  • Psychologist
  • Columbia, MD
  • NPI 1750635207

  DC

  Medicare reassignment NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• Kraus Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Windsor Mill, MD
  • NPI 1215472923
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696
  Care Compare affiliation

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1316377377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 OLD COURT RD STE 4A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083901",
            "telephone_number": "443-898-6622",
            "fax_number": "866-319-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MINK HOLLOW CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174868",
            "telephone_number": "410-654-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDFORD",
        "first_name": "TRIDONNA",
        "middle_name": "DEVAL",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R122316",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R122316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Takeeta Boyd, LCSW-C
• Virginia Marie Boyer, CRNA
• Neldred Mary Bracamonte
• Victor Alfred Bracey, M.D.
• Deasjah Branch
• Joseph Brannon Jr., D.D.S.
• Heather Jo Braswell, OTL
• Jermaine Brayboy, LMSW
• Sophia Braziel
• Thomas Gibson Brennan Jr., M.D.

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.