Organization Active NPI

Fidelity Health Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beltsville, MD
National Provider Identifier
1003400821
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FIDELITY HEALTH CARE LLC
Practice address
4600 Powder Mill Rd Ste 450
Beltsville, MD 20705-2686
Phone
(240) 432-7050
Fax
(301) 982-3411
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Beltta Tachi, CRNP-PMHNPI 1124673777
Title
Owner
Phone
(240) 432-7050

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4600 Powder Mill Rd Ste 450
Beltsville, MD 20705-2686

Mailing address

4600 Powder Mill Rd Ste 450
Beltsville, MD 20705-2686
Phone (240) 432-7050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414000224 DC Part B Supplier - Clinic/Group Practice 4082022983 Receives reassigned benefits from 1 practitioner
Practice locations: Beltsville, MD

National Provider Directory

National Provider Directory

Locations

4600 Powder Mill Rd
Ste 450S11
Beltsville, MD 20705
Phone (240) 432-7050

4600 Powder Mill Rd
Ste 450S17
Beltsville, MD 20705
Phone (227) 215-8486

7501 Greenway Center Dr
Ste 450
Greenbelt, MD 20770
Phone (240) 432-7050

Practitioners & affiliated clinicians

Practitioners 2

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": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1003400821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD STE 450",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052686",
            "telephone_number": "240-432-7050",
            "fax_number": "240-523-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD STE 450",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052686",
            "telephone_number": "240-432-7050",
            "fax_number": "301-982-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "TACHI",
        "authorized_official_first_name": "BELTTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-432-7050",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.