Individual provider Active NPI

Yoldy Dorisca

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1548716624
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R203406 Issued in MD
Practice address
8730 Cherry LN
Suite10
Laurel, MD 20707-6212
Phone
(617) 412-7248
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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 R203406 MD Primary

Addresses

Primary practice location

8730 Cherry LN
Suite10
Laurel, MD 20707-6212

Mailing address

1706 E Eager St
Baltimore, MD 21205-1112
Phone (617) 412-7248

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
I20161103001763 MD Practitioner - Nurse Practitioner 6608154158 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince May 8, 2017 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince May 8, 2017 Accepting new patients
Harbor Care Solutions Dba Comfort Harbor Home Care Current Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1548716624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051112",
            "telephone_number": "617-412-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 CHERRY LN",
            "address_2": "SUITE10",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076212",
            "telephone_number": "617-412-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORISCA",
        "first_name": "YOLDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R203406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.