Individual provider Active NPI

Titilayo Ilori

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1659039022
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R192875 Issued in MD
Practice address
547 Riverside Dr
Salisbury, MD 21801-5369
Phone
(443) 755-7517
Fax
(443) 733-6050
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R192875 MD Primary

Addresses

Primary practice location

547 Riverside Dr
Salisbury, MD 21801-5369

Mailing address

547 Riverside Dr Ste a
Salisbury, MD 21801-5369
Phone (443) 755-7517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230308001772 DC Practitioner - Nurse Practitioner 9133592355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1300 Spring St
Suite 124
Silver Spring, MD 20910-3653
Phone (301) 835-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R192875MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altruist Healthcare Incorporated CurrentSince Nov 17, 2021 Accepting new patients
Thrive Counseling LLC CurrentSince Feb 23, 2023 Accepting new patients

Locations

1300 Spring St
Ste 124
Silver Spring, MD 20910
Phone (301) 835-0777

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1659039022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 RIVERSIDE DR STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015369",
            "telephone_number": "443-755-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 RIVERSIDE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015369",
            "telephone_number": "443-755-7517",
            "fax_number": "443-733-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILORI",
        "first_name": "TITILAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R192875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.