Individual provider Active NPI

Nosta Tanyidah

  • Point of Service
  • Greenbelt, MD
National Provider Identifier
1073918306
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
HHA10348 Issued in DC
Practice address
7813 Mandan Rd
T2
Greenbelt, MD 20770-2139
Phone
(202) 391-1159
NPI assigned
Oct 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X HHA10348 DC Primary

Addresses

Primary practice location

7813 Mandan Rd
T2
Greenbelt, MD 20770-2139

Mailing address

7813 Mandan Rd
T2
Greenbelt, MD 20770-2139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA10348DCMDPoint of Service

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1073918306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 MANDAN RD",
            "address_2": "T2",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 MANDAN RD",
            "address_2": "T2",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702139",
            "telephone_number": "202-391-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANYIDAH",
        "first_name": "NOSTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "DC",
            "license": "HHA10348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.