Individual provider Active NPI

Tavon Todd

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1609576412
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R157924 Issued in MD
Practice address
7120 Minstrel Way Ste 106
Columbia, MD 21045-5274
Phone
(410) 290-9191
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 R157924 MD Primary

Addresses

Primary practice location

7120 Minstrel Way Ste 106
Columbia, MD 21045-5274

Mailing address

7120 Minstrel Way Ste 106
Columbia, MD 21045-5274
Phone (410) 290-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20230810003686 MD Practitioner - Nurse Practitioner 5395107122 Reassigns benefits to 1 organization
I20251020002696 DC Practitioner - Nurse Practitioner 5395107122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians

Practice addresses (Care Compare)

1150 Professional CT P
Hagerstown, MD 21740-4100
Phone (301) 850-2768

7120 Minstrel Way
Suite 106
Columbia, MD 21045-5274
Phone (410) 290-9191

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, LLC CurrentSince Jun 1, 2023 Accepting new patients
Center for Pain Management, LLC Past Accepting new patients

Locations

7120 Minstrel Way
Ste 106
Columbia, MD 21045
Phone (410) 290-9191

1600 Crain Hwy S
Ste 301A
Glen Burnie, MD 21061

1600 Crain Hwy S
Ste 301
Glen Burnie, MD 21061
Phone (410) 760-1400

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

1838 Greene Tree Rd
Ste 150
Pikesville, MD 21208
Phone (301) 881-7246

11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246

6820 Hospital Dr
Ste 302
Rosedale, MD 21237
Phone (410) 682-2823

5010 Regency Pl
Ste 202B
White Plains, MD 20695
Phone (301) 645-1523

Organizations & group practices 2

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1609576412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 106",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "410-290-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 106",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "410-290-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "TAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R157924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.