Individual provider Active NPI

Nadine Davis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1366201261
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R185057 Issued in MD
Practice address
5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943
Phone
(410) 757-2077
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R185057 MD Primary

Addresses

Primary practice location

5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943

Mailing address

5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943
Phone (410) 757-2077

Other practice location 1

1662 Village Grn Ste 100
Crofton, MD 21114-2014
Phone (410) 757-2077

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
I20240622000105 MD Practitioner - Nurse Practitioner 1850834532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

5850 Waterloo Rd
Suite 230
Columbia, MD 21045-1943
Phone (410) 757-2077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Mar 1, 2025 Accepting new patients
Arundel Mental Health Professionals L.C. CurrentSince Mar 15, 2025 Accepting new patients
Mid Atlantic Counseling Services Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Greater Baltimore Counseling Center, LLC Psychiatric/Mental Health PastSince Feb 1, 1996 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients

Locations

5850 Waterloo Rd
Ste 230
Columbia, MD 21045
Phone (240) 687-7826

1662 Village Grn
#B
Crofton, MD 21114

1662 Village Grn
Crofton, MD 21114
Phone 4107572077 ext. 8137

1662 Village Grn
Ste 100
Crofton, MD 21114

8133 Elliott Rd
Ste 236A
Easton, MD 21601
Phone (443) 906-3506

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.nadinedavis@149037.advancedmd-direct.com

Organizations & group practices 5

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1366201261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451943",
            "telephone_number": "410-757-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451943",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1662 Village Grn Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211142014",
            "country_code": "US",
            "telephone_number": "410-757-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NADINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.