Individual provider Active NPI

Josephine Tafie, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1871937482
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R202692 Issued in MD
Practice address
14300 Cherry Lane CT Ste 108
Laurel, MD 20707-4978
Phone
(240) 713-8080
Fax
(240) 993-5700
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1025224 DC
Nurse Practitioner 363L00000X RN1025224 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R202692 MD Primary

Addresses

Primary practice location

14300 Cherry Lane CT Ste 108
Laurel, MD 20707-4978

Mailing address

14280 Baltimore Ave Ste 1026
Laurel, MD 20707-5006
Phone (240) 713-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200810000743 MD Practitioner - Nurse Practitioner 4587089420 Reassigns benefits to 2 organizations
I20210407002643 DC Practitioner - Nurse Practitioner 4587089420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13607 Clarke Ave
Laurel, MD 20707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1025224DCMDNurse Practitioner
R202692MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bac Health Services LLC CurrentSince Jul 15, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 4, 2020 Accepting new patients
Vitality Mental and Behavior Health LLC CurrentSince May 1, 2024 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Feb 9, 2021 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

13922 Baltimore Ave
Laurel, MD 20707
Phone (301) 483-3333

14300 Cherry Lane Ct
Ste 108
Laurel, MD 20707
Phone (240) 713-8080

14280 Baltimore Ave
Laurel, MD 20707
Phone (240) 565-9022

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1871937482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 BALTIMORE AVE STE 1026",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075006",
            "telephone_number": "240-713-8080",
            "fax_number": "240-993-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 CHERRY LANE CT STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074978",
            "telephone_number": "240-713-8080",
            "fax_number": "240-993-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFIE",
        "first_name": "JOSEPHINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1025224",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1025224",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R202692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.