Individual provider Active NPI

Hilda Ardella Lively, FNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1477799245
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R090530 Issued in MD
Practice address
4401 Flowerton Road
Baltimore, MD 21229-1510
Phone
(144) 368-3302
Fax
(667) 200-1186
NPI assigned
Dec 29, 2008
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 R090530 MD Primary

Addresses

Primary practice location

4401 Flowerton Road
Baltimore, MD 21229-1510

Mailing address

4401 Flowerton Road
Baltimore, MD 21229-1510
Phone (443) 683-3025

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hildy57@comcast.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20100506000218 DC Practitioner - Nurse Practitioner 2668500026
I20100526000792 MD Practitioner - Nurse Practitioner 2668500026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4401 Flowerton Rd
Baltimore, MD 21229-1510
Phone (443) 683-3025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R090530MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livelycare Family CurrentSince Jul 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Optum Care Services Company Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: livelycare.hildalively@153137.advancedmd-direct.com

Organizations & group practices 3

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1477799245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FLOWERTON ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291510",
            "telephone_number": "443-683-3025",
            "fax_number": "667-200-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FLOWERTON ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291510",
            "telephone_number": "144-368-3302",
            "fax_number": "667-200-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "HILDA",
        "middle_name": "ARDELLA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R090530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hildy57@comcast.net",
            "affiliation": "N",
            "address_1": "4401 Flowerton Road",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212291510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.