Organization Active NPI

Doris Collaborative Family Practice, LLC

  • Health Service Clinic/Center
  • Elkridge, MD
National Provider Identifier
1548885346
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DORIS COLLABORATIVE FAMILY PRACTICE, LLC
Practice address
7671 Mandrake CT Unit 222
Elkridge, MD 21075-7995
Phone
(347) 208-7025
NPI assigned
Jun 8, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Doris Tawiah, MSN, APRN, FNP-C
Title
Family Nurse Practitioner
Phone
(347) 208-7025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

7671 Mandrake CT Unit 222
Elkridge, MD 21075-7995

Mailing address

7671 Mandrake CT
Elkridge, MD 21075-7993
Phone (347) 208-7025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1548885346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 MANDRAKE CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757993",
            "telephone_number": "347-208-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 MANDRAKE CT UNIT 222",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757995",
            "telephone_number": "347-208-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORIS COLLABORATIVE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "TAWIAH",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-208-7025",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.