Individual provider Active NPI

Zephaniah Tita Taku

  • Case Manager/Care Coordinator
  • Hyattsville, MD
National Provider Identifier
1497579114
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7005 E Ridge Dr
Hyattsville, MD 20785-4913
Phone
(240) 729-0491
NPI assigned
Nov 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7005 E Ridge Dr
Hyattsville, MD 20785-4913

Mailing address

7005 E Ridge Dr
Hyattsville, MD 20785-4913
Phone (240) 877-8478

Other practice location 1

7500 Greenway Center Dr Ste 1300
Greenbelt, MD 20770-3575
Phone (877) 394-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1497579114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 E RIDGE DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854913",
            "telephone_number": "240-877-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 E RIDGE DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854913",
            "telephone_number": "240-729-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Greenway Center Dr Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703575",
            "country_code": "US",
            "telephone_number": "877-394-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITA TAKU",
        "first_name": "ZEPHANIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-09",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.