Active NPI
Eleanor Davis
- Nurse Practitioner
- Parkville, MD
National Provider Identifier
1750252664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R258483
- Practice address
- 9512 Harford Rd Ste 4
Parkville, MD 21234-3127 - Phone
- (410) 665-4400
- NPI assigned
- Sep 15, 2025
- Last updated
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| R258483 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCMG PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.