Individual provider Active NPI

Erica Yvonne Redmond

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1669295457
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R179034 Issued in MD
Practice address
12320 Parklawn Dr
Rockville, MD 20852-1726
Phone
(301) 493-8553
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 R179034 MD Primary

Addresses

Primary practice location

12320 Parklawn Dr
Rockville, MD 20852-1726

Mailing address

12210 Plum Orchard Dr
Silver Spring, MD 20904-7911
Phone (443) 876-3744

Other practice location 1

12210 Plum Orchard Dr Ste 214
Silver Spring, MD 20904-7913
Phone (240) 330-9421

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
I20250630001980 MD Order and Referring Only - Nurse Practitioner 0446772115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R179034MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Care, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1669295457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 PLUM ORCHARD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047911",
            "telephone_number": "443-876-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 PARKLAWN DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521726",
            "telephone_number": "301-493-8553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12210 Plum Orchard Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209047913",
            "country_code": "US",
            "telephone_number": "240-330-9421",
            "fax_number": "240-293-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "ERICA",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R179034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.