Nnegadi Tataw, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R187805 Issued in MD

Practice address

3025 Solomons Island Rd
Edgewater, MD 21037-1416

Phone

(410) 798-8715

NPI assigned

Dec 10, 2018

Last updated

Jun 21, 2023By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  DC

  Medicare reassignment Care Compare group NPD
• Minuteclinic Primary Care Maryland LLC

  • Family Nurse Practitioner
  • Potomac, MD
  • NPI 1487461034

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1447721964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 CASIMIR RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371416",
            "telephone_number": "410-798-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 BRANCH AVE",
            "address_2": "STE 306",
            "address_purpose": "LOCATION",
            "city": "MARLOW HEIGHTS",
            "state": "MD",
            "postal_code": "20748",
            "country_code": "US",
            "telephone_number": "240-425-2762",
            "fax_number": "240-765-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATAW",
        "first_name": "NNEGADI",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strong Smiles I LLC
• Lora Jean Stutzman, DPT
• Daniel David Sullivan, DPT
• Denise Arundell Swensen, PT
• Hilda Gonzalez Talley
• Cynthia Michelle Tawney, ADT 2421
• Jaime C Taylor, PAC
• Thi of Maryland at South River LLC (South River Health and Rehabilitation Center)
• Chelsea Hayes Thompson, MD
• Vivienne Frances Thompson, MS CCC-SLP

• Family Nurse Practitioner in Edgewater, MD
• Providers in Edgewater, 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 Jun 21, 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.