LORI TIFFANY MAZE
NPI 1356714372
Nurse Practitioner in Upper Marlboro, MD

Active since November 12, 2015
9500 MEDICAL CENTER DR, UPPER MARLBORO, MD 20774(703) 975-4774(540) 301-6195 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Apr 24, 2017, Nov 12, 2015 (3 updates tracked since 2015).

About Lori Tiffany Maze NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI TIFFANY MAZE (NPI 1356714372) is an individual nurse practitioner in Upper Marlboro, Maryland, licensed in Virginia (0024173056) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1356714372
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI TIFFANY MAZE
Location Address9500 MEDICAL CENTER DRUpper Marlboro, MD 20774-3701
Mailing Address10006 Chesney DrSpotsylvania, VA 22553-1776 · (703) 975-4774
Fax(540) 301-6195
Sole ProprietorYes
Enumeration DateNovember 12, 2015
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1356714372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VA · 0024173056
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9500 MEDICAL CENTER DR, Upper Marlboro, MD 20774

Other Names 1

Former Name (1)Lori Tiffany Grady Fnp

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
9500 MEDICAL CENTER DR
UPPER MARLBORO, MD 20774
Nurse Practitioner (Psychiatric/Mental Health)
9500 MEDICAL CENTER DR
LARGO, MD 20774
Social Worker (Clinical)
9500 MEDICAL CENTER DR
LARGO, MD 20774
Nurse Practitioner (Psychiatric/Mental Health)
9500 MEDICAL CENTER DR
LARGO, MD 20774
Social Worker (Clinical)
9500 MEDICAL CENTER DR
LARGO, MD 20774
Case Manager/Care Coordinator
9500 MEDICAL CENTER DR
UPPER MARLBORO, MD 20774
Counselor (Mental Health)
9500 MEDICAL CENTER DR
LARGO, MD 20774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Maze's NPI number?

The NPI number for Lori Maze is 1356714372. It was assigned to this individual provider in the NPPES registry on November 12, 2015. The provider is also known as Lori Tiffany Grady Fnp.

Where is Lori Maze located?

Lori Maze practices at 9500 Medical Center Dr, Upper Marlboro, MD 20774. The listed phone number is (703) 975-4774.

What is Lori Maze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lori Maze was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.