Individual provider Active NPI

Rian Livisay Talley, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Takoma Park, MD
National Provider Identifier
1215140439
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1036512 Issued in DC
Practice address
7517 New Hampshire Ave
Takoma Park, MD 20912-6969
Phone
(240) 450-2092
NPI assigned
May 7, 2007
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP1036512 DC
Family Nurse Practitioner 363LF0000X R207685 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1036512 DC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R207685 MD

Addresses

Primary practice location

7517 New Hampshire Ave
Takoma Park, MD 20912-6969

Mailing address

9727 June Flowers Way
Laurel, MD 20723-5619
Phone (410) 258-1591

Other practice location 1

220 I St NE Ste 110
Washington, DC 20002-8295
Phone (202) 290-2344

Other names 1

  • Rian Michele Jamerson Livisay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181114000502 MD Practitioner - Nurse Practitioner 3779837547
I20200608002625 DC Practitioner - Nurse Practitioner 3779837547 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1036512DCMDPsychiatric/Mental Health Registered Nurse
R207685MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Dec 3, 2024 Accepting new patients
Renal Treatment Centers - Mid-Atlantic, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14631 Laurel Bowie Rd
Ste 100
Laurel, MD 20707
Phone (301) 725-3559

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1215140439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 JUNE FLOWERS WAY",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235619",
            "telephone_number": "410-258-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 NEW HAMPSHIRE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126969",
            "telephone_number": "240-450-2092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 I St NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200028295",
            "country_code": "US",
            "telephone_number": "202-290-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "RIAN",
        "middle_name": "LIVISAY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1036512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207685",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1036512",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIAN",
            "last_name": "LIVISAY",
            "middle_name": "MICHELE JAMERSON",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.