Individual provider Active NPI

Margarita Tabudlong, FNP-C

  • Family Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1326808148
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R264055 Issued in MD
Practice address
2200 Defense Hwy Ste 103
Crofton, MD 21114-2458
Phone
(410) 721-5280
Fax
(410) 721-2243
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 R264055 MD Primary

Addresses

Primary practice location

2200 Defense Hwy Ste 103
Crofton, MD 21114-2458

Mailing address

2200 Defense Hwy Ste 103
Crofton, MD 21114-2458
Phone (410) 721-5280

Other practice location 1

108 Forbes St Fl 2
Annapolis, MD 21401-1546
Phone (410) 571-7880

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
I20240403000012 MD Practitioner - Nurse Practitioner 8729426283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (410) 659-7041

7226 Lee Deforest Dr
Suite 206
Columbia, MD 21046-3238
Phone (410) 656-2646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R264055MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Dec 30, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 18, 2025 Accepting new patients
Privia Medical Group, LLC Current Accepting new patients
Privia Care Center LLC CurrentSince Dec 30, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 18, 2025 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: margarita.tabudlong.1@8042.direct.athenahealth.com
  • Direct secure messaging: margarita.tabudlongcrnp.p2@direct.msmg.nextgenshare.com

Organizations & group practices 6

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1326808148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY STE 103",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142458",
            "telephone_number": "410-721-5280",
            "fax_number": "410-721-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY STE 103",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142458",
            "telephone_number": "410-721-5280",
            "fax_number": "410-721-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Forbes St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011546",
            "country_code": "US",
            "telephone_number": "410-571-7880",
            "fax_number": "410-940-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABUDLONG",
        "first_name": "MARGARITA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R264055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.