Active NPI
Tatyana Vladimirovna Valentin, AGACNP
- Nurse Practitioner
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R211661
- Practice address
- 490 Cadmus LN Ste 102
Easton, MD 21601-4091 - Phone
- (410) 770-5250
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R211661 | MD | Primary |
Addresses
Primary practice location
490 Cadmus LN Ste 102
Easton, MD 21601-4091
Mailing address
7486 Tour Dr
Easton, MD 21601-8109
Phone (443) 786-3384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
490 Cadmus LN
Suite 102
Easton, MD 21601-4091
Phone (410) 822-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R211661 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients |
Locations
400 Byrn St
Apt B
Cambridge, MD 21613
Phone (410) 221-0448
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300
219 S Washington St
Easton, MD 21601
490 Cadmus Ln
Ste 102
Easton, MD 21601
Phone (410) 770-5250
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
125 Shoreway Dr
Ste 210
Queenstown, MD 21658
Phone (410) 770-5250
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Shore Medical Center at Chestertown
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1659986735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7486 TOUR DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216018109",
"telephone_number": "443-786-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 CADMUS LN STE 102",
"city": "EASTON",
"state": "MD",
"postal_code": "216014091",
"telephone_number": "410-770-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN",
"first_name": "TATYANA",
"middle_name": "VLADIMIROVNA",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R211661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
- University of MD Obstetrical and Gynecological Asso. PA
- University of MD Obstetrical and Gynecological Asso. PA
- Jenisha Upadhyay, MD
- Matthew Vaccari, PHARMD
- Lakshmi Vaidyanathan, MD
- Kathleen Keys Valentino, PT
- Karen Lewis Vantrieste, RN
- Lisette Vazquez, NP, RNFA
- Vein and Wellness Group, LLC
- Patricia Vilani
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.