Active NPI
Linda Dennis, FNP
- Family Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R199109
- Practice address
- 8860 Columbia 100 Pkwy Ste 210
Columbia, MD 21045-2383 - Phone
- (301) 957-0372
- Fax
- (410) 224-1428
- NPI assigned
- Aug 7, 2017
- Last updated
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R199109 | MD | Primary |
Addresses
Primary practice location
8860 Columbia 100 Pkwy Ste 210
Columbia, MD 21045-2383
Mailing address
8860 Columbia 100 Pkwy Ste 210
Columbia, MD 21045-2383
Phone (301) 957-0372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F07170018 | Other | AANPCB | |
| R199109 | Other | MD | MARYLAND BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Morris Dr
La Plata, MD 20646-4254
Phone (410) 999-1133
154 N Artizan St
Williamsport, MD 21795-1104
Phone (301) 223-7971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R199109 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics at Civista LLC | Current | Accepting new patients | |
| Mdics Rehabilitative Services LLC | Current | Accepting new patients | |
| Mdics Rehabilitative Services - Ltcaco LLC | Current | Accepting new patients |
Locations
3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535
9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600
6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575
121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133
2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- La Plata, MD
- NPI 1033005475
DC
-
- Primary Care Nurse Practitioner
- Columbia, MD
- NPI 1821674789
-
- Hospitalist Physician
- La Plata, MD
- NPI 1225323496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1437674850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8860 COLUMBIA 100 PKWY STE 210",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452383",
"telephone_number": "301-957-0372",
"fax_number": "410-224-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8860 COLUMBIA 100 PKWY STE 210",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452383",
"telephone_number": "301-957-0372",
"fax_number": "410-224-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "LINDA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R199109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANPCB",
"identifier": "F07170018",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF NURSING",
"identifier": "R199109",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.