Organization Active NPI

MDF LLC

Doing business as Evolve Direct Primary Care

  • Primary Care Clinic/Center
  • Annapolis, MD
National Provider Identifier
1861049959
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MDF LLC
Doing business as
Evolve Direct Primary Care
Practice address
509 S Cherry Grove Ave Ste C
Annapolis, MD 21401-4235
Phone
(844) 322-4222
Fax
(443) 400-0509
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Lauren Bond, CRNPNPI 1073572970
Title
Nurse Practitioner
Phone
(844) 322-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

509 S Cherry Grove Ave Ste C
Annapolis, MD 21401-4235

Mailing address

509 S Cherry Grove Ave Ste C
Annapolis, MD 21401-4235
Phone (844) 322-4222

Other names 1

  • Evolve Direct Primary Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2185426Evolve Direct Primary Care509 S Cherry Grove Avenue Ste B & C, Annapolis, MD 21401Certificate of waiverJun 2, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1861049959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S CHERRY GROVE AVE STE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014235",
            "telephone_number": "844-322-4222",
            "fax_number": "443-400-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S CHERRY GROVE AVE STE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014235",
            "telephone_number": "844-322-4222",
            "fax_number": "443-400-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "844-322-4222",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.