Organization Active NPI

Amber Health Care LLC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1881584704
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AMBER HEALTH CARE LLC
Practice address
631 Cherry Hill Rd Ste 101
Baltimore, MD 21225-1228
Phone
(443) 898-6622
Fax
(866) 319-9336
NPI assigned
Jul 3, 2025
Last updated
Aug 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Authorized official

Name
Tridonna Deval Brandford, CRNPNPI 1316377377
Title
Owner
Phone
(443) 898-6622

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

631 Cherry Hill Rd Ste 101
Baltimore, MD 21225-1228

Mailing address

7 Mink Hollow CT
Owings Mills, MD 21117-4868
Phone (443) 986-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251216004635 MD Part B Supplier - Clinic/Group Practice 0941795074 Receives reassigned benefits from 4 practitioners
Practice locations: Baltimore, MD

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
21D2332539Amber Health Care LLC631 Cherry Hill Rd Suite 101, Baltimore, MD 21225Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Locations

631 Cherry Hill Rd
Ste 101
Brooklyn, MD 21225
Phone (443) 334-8825

Practitioners & affiliated clinicians

Practitioners 6

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754784000000",
    "number": "1881584704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MINK HOLLOW CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174868",
            "telephone_number": "443-986-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL RD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "443-898-6622",
            "fax_number": "866-319-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "BRANDFORD",
        "authorized_official_first_name": "TRIDONNA",
        "authorized_official_middle_name": "DEVAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-898-6622",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.