NPIMap

Organization Active NPI

Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1437930146
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HEALTHDRIVE MEDICAL SERVICES SOUTHEAST LLC
Practice address
6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105
Phone
(888) 964-6681
Fax
(888) 662-0859
NPI assigned
Oct 9, 2023
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Daniel Baker
Title
President
Phone
(857) 255-0486

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Acute Care Nurse Practitioner 363LA2100X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Nurse Practitioner 363LF0000X NU
Gerontology Nurse Practitioner 363LG0600X NU
Primary Care Nurse Practitioner 363LP2300X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105

Mailing address

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone (617) 964-6681

Other practice location 1

2413 E Loop 820 N
Fort Worth, TX 76118-6933
Phone (888) 964-6681

Other practice location 2

605 N Michigan Ave Ste 4
Chicago, IL 60611-3141
Phone (888) 964-6681

Other practice location 3

101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568
Phone (888) 964-6681

Other practice location 4

1300 I St NW Ste 400E
Washington, DC 20005-3318
Phone (888) 964-6681

Other practice location 5

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone (888) 964-6681

Other practice location 6

4410 Claiborne Sq E Ste 334
Hampton, VA 23666-2074
Phone (888) 964-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, MA, RI, CT, NJ, TX, IL, MT9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20250729000012 MD Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 27 practitioners
Practice locations: Columbia, MD
O20250729000413 DC Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 27 practitioners
Practice locations: Silver Spring, MD
O20250731002937 MA Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 17 practitioners
Practice locations: Framingham, MA
O20250804001160 RI Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 54 practitioners
Practice locations: Providence, RI
O20250806000049 CT Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 136 practitioners
Practice locations: Middletown, CT
O20250819001319 NJ Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 41 practitioners
Practice locations: Princeton, NJ
O20250819002789 TX Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 46 practitioners
Practice locations: Fort Worth, TX
O20250916000519 IL Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 37 practitioners
Practice locations: Chicago, IL
O20260410003337 MT Part B Supplier - Clinic/Group Practice 4284075722 Receives reassigned benefits from 12 practitioners
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

191 Peachtree St NE
#14
Atlanta, GA 30303
Phone (404) 600-1533

Practitioners & affiliated clinicians

Practitioners 344

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 344

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1437930146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD STE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462105",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2413 E Loop 820 N",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761186933",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 N Michigan Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113141",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Centerpoint Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064577568",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 I St NW Ste 400E",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200053318",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Crossing Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025555",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 Claiborne Sq E Ste 334",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662074",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHDRIVE MEDICAL SERVICES SOUTHEAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-255-0486"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.