Tarita Basanta, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN1005714 Issued in DC

Practice address

3417 18TH St NE
Washington, DC 20018-2721

Phone

(202) 629-2917

Fax

(202) 629-2797

NPI assigned

Feb 15, 2023

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Bradley & Associates, LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1679046353
  NPD
• Bradley & Associates, LLC

  • Case Management Agency
  • Washington, DC
  • NPI 1861128332
  NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1740988179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SKYLAND TER SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203455",
            "telephone_number": "240-478-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 18TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182721",
            "telephone_number": "202-629-2917",
            "fax_number": "202-629-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASANTA",
        "first_name": "TARITA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1005714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030960869",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yetunde Baruwa
• Anagha A Barve, PHD MSW
• Terry Joseph Barzanti
• Leila Barzegar
• Lonje Bernard Basame
• Emma G Basch, PSYD
• Peter Basch, M.D.
• Michael Angelo Basco, M.D.
• Yvonne Leonor Bascug, M.D.
• Malini Basdeo, PSYD

• Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.