Fatmata Tity Tarawali, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R091956 Issued in MD

Practice address

4390 Montgomery Rd
Ellicott City, MD 21043-6068

Phone

(410) 203-1700

Fax

(410) 203-1026

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1174622989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 GREENVALE PKWY",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841538",
            "telephone_number": "301-772-0957",
            "fax_number": "301-772-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 MONTGOMERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436068",
            "telephone_number": "410-203-1700",
            "fax_number": "410-203-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAWALI",
        "first_name": "FATMATA",
        "middle_name": "TITY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN50629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R091956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029880400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Tak
• Marita Ecaldre Talag, PT
• Kathryn Talbot, M.ED., CCC-SLP
• Felicia Talbott
• Ryan Tanamor
• Target Pharmacy
• Constance Ayuk Tataw, NP
• Glory Tataw
• Sheila Taylor-Potter, LCSW-C
• Barbara Ann Hillsman Taylor, M.S., CCC-SLP, COM

• Family Nurse Practitioner in Ellicott City, MD
• Providers in Ellicott City, 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 Jul 16, 2009; 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.