Rassidatou Radji

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R210237 Issued in MD

Practice address

14501 Dunsinane Ter
Silver Spring, MD 20906-2652

Phone

(301) 254-4111

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4

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.

• On Time Home Health Services LLC

  • Rehabilitation Clinic/Center
  • Landover, MD
  • NPI 1720638430

  DC

  Medicare reassignment NPD
• Liberty Family Care LLC

  • Primary Care Nurse Practitioner
  • Randallstown, MD
  • NPI 1124640974

  Psychiatric/Mental Health

  NPD
• On Time Home Health Services

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1225526221
  NPD
• Liberty Family Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1154098077
  NPD (past)

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1407439409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 DUNSINANE TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062652",
            "telephone_number": "301-254-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 DUNSINANE TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062652",
            "telephone_number": "301-254-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADJI",
        "first_name": "RASSIDATOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R3 Dental Group LLC
• Sheena Rabheru, LCPC
• Ira Y Rabin, MD
• Lionel No Middle Name Rabin, M.D., C.M.
• Madelyn Radinger
• Tami Lynn Radov, PT, DPT
• Cynthia M Radovic, MA , BSN-BC
• Elizabeth Raeder Freeland, M.A., LCSW-C, CSOTP
• Jennifer Ragunton, PT, DPT
• Aniseh Rahbaran

• Psychiatric/Mental Health Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 Sep 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.