Beltta Gangwab Tachi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R187251 Issued in MD

Practice address

7501 Greenway Center Dr Ste 450
Greenbelt, MD 20770-3544

Phone

(240) 432-7050

NPI assigned

Aug 8, 2019

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 DC

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fidelity Health Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beltsville, MD
  • NPI 1003400821

  DC, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1124673777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 HOLLY SPRING DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209056403",
            "telephone_number": "240-432-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR STE 450",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703544",
            "telephone_number": "240-432-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHI",
        "first_name": "BELTTA",
        "middle_name": "GANGWAB",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "R187251",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R187251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Swan, LPC, LCPC
• Sarah Mubeen Syeda, PA-C
• Lillian M Sylvester, LCPC
• T.D.Annapolis, Inc
• Kathleen Tabb, RD
• Rachel Tah
• Ferdinand Tajoche
• Lucy Effundem Takang
• John Tiku Takem, HHA
• Regine M Talleyrand Abrams, PHD

• Psychiatric/Mental Health Nurse Practitioner in Greenbelt, MD
• Providers in Greenbelt, 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 Oct 11, 2022; 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.