Village Family Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VILLAGE FAMILY HEALTHCARE, LLC

Practice address

28170 Old Village Rd Ste 102
Mechanicsville, MD 20659-4211

Phone

(301) 481-5105

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Tara Wood, CRNPNPI 1619390325

Title

Owner

Phone

(240) 249-6073

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Tara Wood, CRNP

  • Family Nurse Practitioner
  • Mechanicsville, MD
  • NPI 1619390325
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1780350827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28170 OLD VILLAGE RD STE 102",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28170 OLD VILLAGE RD STE 102",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594211",
            "telephone_number": "301-481-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-249-6073",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@villagefamilyhealthcare.com",
            "affiliation": "N",
            "address_1": "28170 Old Village Rd Ste 102",
            "city": "Mechanicsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206594211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elizabeth Dickens Turner, MPT
• Vault Research Inc
• Jennifer Katherine Wade, NP
• Waldorf Integrated Healthcare, LLC (New Market Family Practice)
• Jessica Dean Williams
• Tara Wood, CRNP
• Word Work Therapy LLC

• Family Medicine Physician in Mechanicsville, MD
• Providers in Mechanicsville, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.