Glory Tataw

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R222480 Issued in MD

Practice address

3203A Corporate CT
Ellicott City, MD 21042-2247

Phone

(410) 205-2458

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• A Glorious Place LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
  • NPI 1043952880

  DC

  Medicare reassignment NPD Authorized official
• Hea Health Care Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ellicott City, MD
  • NPI 1861293417
  Medicare reassignment NPD
• Hea Health Care Services LLC

  • Rehabilitation Clinic/Center
  • Ellicott City, MD
  • NPI 1689554636
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1033782115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203A CORPORATE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422247",
            "telephone_number": "410-696-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203A CORPORATE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422247",
            "telephone_number": "410-205-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAW",
        "first_name": "GLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R222480",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R222480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Talbott
• Ryan Tanamor
• Fatmata Tity Tarawali, APRN
• Target Pharmacy
• Constance Ayuk Tataw, NP
• Sheila Taylor-Potter, LCSW-C
• Barbara Ann Hillsman Taylor, M.S., CCC-SLP, COM
• Bruce T Taylor, MD
• Chun Shin Taylor, LCPC
• Dana Taylor, O.D.

• Psychiatric/Mental Health Nurse Practitioner in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.