Individual provider Active NPI

Laurie Francis Davis, CRNP

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1558020172
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R188535 Issued in MD
Practice address
10290 Baltimore National Pike
Ellicott City, MD 21042-3670
Phone
(410) 465-8503
Fax
(410) 465-8570
NPI assigned
Dec 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PENDING MD
Family Nurse Practitioner 363LF0000X R188535 MD Primary

Addresses

Primary practice location

10290 Baltimore National Pike
Ellicott City, MD 21042-3670

Mailing address

PO Box 6290
Ellicott City, MD 21042-0290
Phone (410) 465-8503

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
I20220504000720 MD Practitioner - Nurse Practitioner 4284645912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Practice addresses (Care Compare)

118 Westminster Pike
Suite 106
Reisterstown, MD 21136-1060
Phone (410) 876-0086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGMDMDNurse Practitioner
R188535MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shahnaz K. Rao Mdpa CurrentSince Dec 12, 2021 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Apr 1, 2026 Accepting new patients
America'S Favorite Sleep Center Inc. CurrentSince Apr 15, 2012 Accepting new patients
University of Maryland Physicians PA CurrentSince Apr 1, 2026 Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

10290 Baltimore National Pike
Ellicott City, MD 21042
Phone (301) 906-5861

118 Westminster Pike
Ste 106
Reisterstown, MD 21136
Phone (410) 876-0086

Organizations & group practices 5

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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1558020172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6290",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210420290",
            "telephone_number": "410-465-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423670",
            "telephone_number": "410-465-8503",
            "fax_number": "410-465-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS DAVIS",
        "first_name": "LAURIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R188535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.