Anyinkeng Lydia Tazi, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R208066 Issued in MD

Practice address

12003 Piscataway Rd
Clinton, MD 20735-1168

Phone

(240) 691-6835

NPI assigned

May 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Toller Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC

  Medicare reassignment Care Compare group NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment NPD
• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822

  DC

  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1598524308
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856
  NPD
• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758
  NPD

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1245591973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12003 PISCATAWAY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351168",
            "telephone_number": "240-691-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12003 PISCATAWAY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351168",
            "telephone_number": "240-691-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAZI",
        "first_name": "ANYINKENG",
        "middle_name": "LYDIA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1031555",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R208066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian Tarke
• Sharon J Tavares
• Andrea Lou-Ann Taylor-Demmin, MA CCC-SLP
• Grace Taylor, RN, MA, CHC
• Keilia R Taylor, PHARMD
• Samantha Tchami
• Harriette Teche
• Jennifer Sue Teifer, M.D.
• Azeb Telahun, MD
• Telahun, Shrader & Rivera, MD

• Psychiatric/Mental Health Nurse Practitioner in Clinton, MD
• Providers in Clinton, 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 3, 2023; 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.