Individual provider Active NPI

Eden Muluneh Taye, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1134820020
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R170345 Issued in MD
Practice address
9002 Pennsylvania Ave
Silver Spring, MD 20910-1914
Phone
(301) 318-1859
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 Practitioner 363LP0808X R170345 MD Primary

Addresses

Primary practice location

9002 Pennsylvania Ave
Silver Spring, MD 20910-1914

Mailing address

9002 Pennsylvania Ave
Silver Spring, MD 20910-1914
Phone (301) 318-1859

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240129000636 DC Practitioner - Nurse Practitioner 3173972502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8115 Fenton St
Silver Spring, MD 20910-4700
Phone (301) 318-1859

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R170345MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privium Consultants LLC CurrentSince Mar 27, 2024 Accepting new patients
Dr. Eden Healthcare Services LLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

1328 Southern Ave SE
Ste 217
Washington, DC 20032
Phone (202) 221-8443

7801 Old Branch Ave
Ste 202
Clinton, MD 20735
Phone (202) 221-8442

8115 Fenton St
Silver Spring, MD 20910
Phone (240) 660-6464

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1134820020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 PENNSYLVANIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101914",
            "telephone_number": "301-318-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 PENNSYLVANIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101914",
            "telephone_number": "301-318-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYE",
        "first_name": "EDEN",
        "middle_name": "MULUNEH",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R170345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.