Individual provider Active NPI

Siobhan Yoshida, FNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1881883205
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R161677 Issued in MD
Practice address
6250 Old Dobbin LN
Columbia, MD 21045-5816
Phone
(410) 730-3399
Fax
(443) 709-8672
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R161677 MD Primary

Addresses

Primary practice location

6250 Old Dobbin LN
Columbia, MD 21045-5816

Mailing address

8186 Lark Brown Rd
Ste 201
Elkridge, MD 21075-6434
Phone (410) 730-3399

Other identifiers 1

IdentifierTypeStateIssuer
R481-0011OtherMDCAREFIRST

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000204 MD Practitioner - Nurse Practitioner 3577644004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone 4107303399100

2554 Solomons Island Rd
Suite B 5
Annapolis, MD 21401-3710
Phone (410) 943-2484

8175 Westside Blvd
Suite D
Fulton, MD 20759-2708
Phone (240) 580-2650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Call Medical Center LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

6250 Old Dobbin Ln
Columbia, MD 21045

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

Interoperability endpoints

  • Direct secure messaging: syoshida@cmgp-md.direct.office.nextgen.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1881883205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD",
            "address_2": "STE 201",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756434",
            "telephone_number": "410-730-3399",
            "fax_number": "443-478-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 OLD DOBBIN LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455816",
            "telephone_number": "410-730-3399",
            "fax_number": "443-709-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIDA",
        "first_name": "SIOBHAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R161677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "R481-0011",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.