Individual provider Active NPI

Eleanor Davis

  • Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1750252664
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R258483 Issued in MD
Practice address
9512 Harford Rd Ste 4
Parkville, MD 21234-3127
Phone
(410) 665-4400
NPI assigned
Sep 15, 2025
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R258483 MD Primary

Addresses

Primary practice location

9512 Harford Rd Ste 4
Parkville, MD 21234-3127

Mailing address

9512 Harford Rd Ste 4
Parkville, MD 21234-3127
Phone (410) 665-4400

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
I20251229003012 MD Practitioner - Nurse Practitioner 4385130368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4550 Montgomery Ave
Suite 950N
Bethesda, MD 20814-3323

9512 Harford Rd
Suite 4
Parkville, MD 21234-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R258483MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TCMG PA CurrentSince Oct 17, 2025 Accepting new patients

Locations

9512 Harford Rd
Ste 4
Parkville, MD 21234
Phone (410) 665-4400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1750252664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 4",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343127",
            "telephone_number": "410-665-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 4",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343127",
            "telephone_number": "410-665-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELEANOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R258483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.