Tiara Tolbert

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R192451 Issued in MD

Practice address

7001 Johnnycake Rd Ste 105
Windsor Mill, MD 21244-2419

Phone

(410) 633-6300

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teresa Hoffman M.D. and Associates, LLCGroup PAC ID 9931154267, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ttolbert92289@direct.mdmercy.com

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.

• Teresa Hoffman M.D. and Associates, LLC

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1760446041
  Medicare reassignment Care Compare group NPD
• Teresa Hoffman M.D. and Associates, LLC

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1124991211
  NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1518613892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 FERNHILL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154922",
            "telephone_number": "443-803-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD STE 105",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442419",
            "telephone_number": "410-633-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "TIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R192451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lucille Thompson, MSW
• Marius Tialeh Tiemunji
• Titan Rehabilitation LLC
• Modupe Togun, DNP, FNP-BC, PMHNP
• Stefie Tokpah, PA-C
• Harriet A Tootle, CRNP
• Topcare Health Services LLC
• Lydia Kersh Torres, DO
• Touching Minds Healthcare Services
• Truelife Health Services, Inc.

• Obstetrics & Gynecology Nurse Practitioner in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Obstetrics & Gynecology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.

Verify at the official NPI Registry.