Individual provider Active NPI

Maureen O Tabansi

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1013554195
Registry record updated Dec 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN1033562 Issued in DC
Practice address
2131 O St NW
Washington, DC 20037-1008
Phone
(202) 785-2577
NPI assigned
Dec 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN1033562 DC Primary

Addresses

Primary practice location

2131 O St NW
Washington, DC 20037-1008

Mailing address

14615 London LN
Bowie, MD 20715-2577
Phone (301) 906-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201030002241 DC Practitioner - Nurse Practitioner 2668882788 Reassigns benefits to 1 organization
I20201102002185 MD Practitioner - Nurse Practitioner 2668882788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1033562DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Single Specialty CurrentSince Jul 23, 2020 Accepting new patients
A Clean Start LLC Single Specialty CurrentSince May 25, 2021 Accepting new patients

Locations

5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240

5301 Buckeystown Pike
Ste 320
Frederick, MD 21704
Phone (540) 322-5424

3 Greenwood Pl
Ste 108
Pikesville, MD 21208
Phone (410) 205-7698

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1575676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575676800000",
    "number": "1013554195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 LONDON LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152577",
            "telephone_number": "301-906-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 O ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371008",
            "telephone_number": "202-785-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABANSI",
        "first_name": "MAUREEN",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-07",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1033562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.