Active NPI
MDF LLC
Doing business as Evolve Direct Primary Care
- Primary Care Clinic/Center
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Bond, CRNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2185426 | Evolve Direct Primary Care | Certificate of waiver | Jun 2, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Queenstown, MD
- NPI 1073572970
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.