Et Family Practice, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R178223 Issued in MD

Legal business name

ET FAMILY PRACTICE, INC.

Practice address

7231 Hanover Pkwy Ste a
Greenbelt, MD 20770-2027

Phone

(240) 386-9682

Fax

(301) 477-7352

NPI assigned

Jan 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Eta Stephen Tataw

Title

Owner

Phone

(301) 982-7898

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1124364757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702027",
            "telephone_number": "301-982-7898",
            "fax_number": "301-982-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702027",
            "telephone_number": "240-386-9682",
            "fax_number": "301-477-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Snowden River Pkwy Ste 306",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210451986",
            "country_code": "US",
            "telephone_number": "443-546-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ET FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-01",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "TATAW",
        "authorized_official_first_name": "ETA",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-982-7898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337807100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424652700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esa Habilitation Services, LLC
• Marie Essame
• Florence A Esumenche
• Micheal N Esunji, HHA
• Et Family Practice
• Et Healthcare Foundation,Inc.
• Joseph Desire Etoo Ndjongo
• Rose Senge Etule
• Enanga Euphrasia
• Urika D. Evans Mayo, AGACNP

• Family Nurse Practitioner in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.