Individual provider Active NPI

Tova Green, CRNP-FAMILY

  • Family Nurse Practitioner
  • Randallstown, MD
National Provider Identifier
1699348961
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R229095 Issued in MD
Practice address
8811 Flagstone Dr
Randallstown, MD 21133-4220
Phone
(443) 345-9448
NPI assigned
Jul 23, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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 R229095 MD Primary

Addresses

Primary practice location

8811 Flagstone Dr
Randallstown, MD 21133-4220

Mailing address

8811 Flagstone Dr
Randallstown, MD 21133-4220

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
I20240705001873 MD Practitioner - Nurse Practitioner 1355885047 Reassigns benefits to 3 organizations
I20250102000420 DC Practitioner - Nurse Practitioner 1355885047 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
First Call Medical Center LLCGroup PAC ID 5496091290, 28 clinicians
Baltimore Washington Emergency Physicians, Inc.Group PAC ID 3577451103, 31 clinicians
Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

Practice addresses (Care Compare)

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone (410) 694-7999

15646 Old Columbia Pike
Burtonsville, MD 20866-1630
Phone (301) 421-1214

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4565

6250 Old Dolbbin Lane
Columbia, MD 21045-5816
Phone (410) 730-3399

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group, PA Current Accepting new patients
Baltimore Washington Emergency Physicians, Inc. CurrentSince Apr 14, 2024 Accepting new patients
Centennial Medical Group, PA CurrentSince Dec 12, 2024 Accepting new patients
Centennial Medical Group, PA CurrentSince Dec 12, 2024 Accepting new patients
First Call Medical Center LLC CurrentSince Dec 12, 2024 Accepting new patients
First Call Medical Center LLC CurrentSince Dec 12, 2024 Accepting new patients
First Call Medical Center LLC CurrentSince Dec 12, 2024 Accepting new patients

Locations

15646 Old Columbia Pike
Burtonsville, MD 20866
Phone (301) 421-1214

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

6250 Old Dobbin Ln
Columbia, MD 21045

6250 Old Dobbin Ln
Ste A
Columbia, MD 21045
Phone (410) 694-7999

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

Interoperability endpoints

  • Direct secure messaging: tgreen1030810@direct.umm.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1699348961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 FLAGSTONE DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 FLAGSTONE DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334220",
            "telephone_number": "443-345-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TOVA",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R229095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.