Individual provider Active NPI

Elizabeth A Holderness, CRNP

  • Acute Care Nurse Practitioner
  • Towson, MD
National Provider Identifier
1447480348
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R170415 Issued in MD
Practice address
7505 Osler Dr Ste 302
Towson, MD 21204-7738
Phone
(410) 337-1783
Fax
(410) 427-2063
NPI assigned
Jul 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R170415 MD Primary

Addresses

Primary practice location

7505 Osler Dr Ste 302
Towson, MD 21204-7738

Mailing address

7505 Osler Dr Ste 302
Towson, MD 21204-7738
Phone (410) 337-1783

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
I20150506000860 MD Practitioner - Nurse Practitioner 2567622152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-1379

Hospital & facility affiliations

  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
79.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Mar 24, 2015 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Mar 24, 2015 Accepting new patients

Locations

22 S Greene St
#N4W94
Baltimore, MD 21201
Phone (410) 328-3822

7505 Osler Dr
Ste 302
Towson, MD 21204
Phone (410) 337-1783

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: eholderness7114@direct.umm.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1447480348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047738",
            "telephone_number": "410-337-1783",
            "fax_number": "410-427-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047738",
            "telephone_number": "410-337-1783",
            "fax_number": "410-427-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDERNESS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R170415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.