Olga Adjo Tawiah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024177614 Issued in VA

Practice address

1850 Town Center Pkwy Ste 410
Reston, VA 20190-3300

Phone

(571) 393-6987

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1619568136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24638 LENAH CROSSING DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055971",
            "telephone_number": "443-221-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 410",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903300",
            "telephone_number": "571-393-6987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Fort Evans Rd NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764420",
            "country_code": "US",
            "telephone_number": "443-221-9928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAWIAH",
        "first_name": "OLGA",
        "middle_name": "ADJO",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE COMMERCIAL",
            "identifier": "1649280215",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202379419",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Leesburg",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1850 Town Center Pkwy Ste 410",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Leesburg",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "163 Fort Evans Rd NE",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201764420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Christine Tanverdi, OTR/L
• Fatima Tariq, MD
• Grace Anne Tatlonghari
• Shaheda Tawakalyar
• Fred F Taweel, MD
• Abigail Coleman Taylor, PA-C
• Teanna Taylor
• Tiffany Nicole Tea, PT, DPT
• Kathryn Hillary Tedeschi, ATR-BC, LPC
• Gerardo M Tejada

• Family Nurse Practitioner in Reston, VA
• Providers in Reston, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.