Our Family Healthcare

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

OUR FAMILY HEALTHCARE

Practice address

1576 Merritt Blvd
Suite 15
Dundalk, MD 21222-2114

Phone

(443) 530-6165

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany Dirickson-FordNPI 1306472717

Title

Owner

Phone

(443) 542-8812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Gladys Dirickson-Ford, CRNP

  • Nurse Practitioner
  • Washington, DC
  • NPI 1306472717

  MD

  Medicare reassignment NPD Authorized official
• Kirsten Taleb, NP

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1225675465
  Medicare reassignment NPD

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1740937366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD",
            "address_2": "SUITE 15",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD",
            "address_2": "SUITE 15",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "DIRICKSON-FORD",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-542-8812"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Oh
• Samuel U Okafor, PHARMD
• Eselebor Okojie
• One More Chance Recovery LLC
• One More Chance Recovery LLC
• Enrique Ivan Oviedo, MD
• Jessica Pagnoni
• Tori Dehart Palmer, PT, DPT
• Linda Panzarella-Miller, SLP
• Emil Parreno, PT

• Primary Care Nurse Practitioner in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.