Individual provider Active NPI

Linda Dennis, FNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1437674850
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199109 Issued in MD
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 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

IdentifierTypeStateIssuer
F07170018OtherAANPCB
R199109OtherMDMARYLAND BOARD OF NURSING

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171115002950 MD Practitioner - Nurse Practitioner 0749546265 Reassigns benefits to 2 organizations
I20251126002529 DC Practitioner - Nurse Practitioner 0749546265 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
Group practices
Mdics Rehabilitative Services - Ltcaco LLCGroup PAC ID 8426556267, 13 clinicians

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

LicenseStateTypeSpecialty
R199109MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Civista LLC CurrentSince Nov 29, 2025 Accepting new patients
Mdics Rehabilitative Services LLC CurrentSince Nov 29, 2025 Accepting new patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 29, 2025 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.

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

Verify at the official NPI Registry.