Active NPI
Isatu Tata Kanu
- Registered Nurse
- Laurel, MD
National Provider Identifier
1891058913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN1041869
- Practice address
- 9609 Dapper Town Row
Laurel, MD 20723-5882 - Phone
- (202) 281-5205
- Fax
- (202) 281-5205
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1041869 | DC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RNP1041869 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R225358 | MD |
Addresses
Primary practice location
9609 Dapper Town Row
Laurel, MD 20723-5882
Mailing address
9609 Dapper Town Row
Laurel, MD 20723-5882
Phone (202) 281-5205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1041869 | DC | MD | Registered Nurse |
| RNP1041869 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| R225358 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1891058913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9609 DAPPER TOWN ROW",
"city": "LAUREL",
"state": "MD",
"postal_code": "207235882",
"telephone_number": "202-281-5205",
"fax_number": "202-281-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9609 DAPPER TOWN ROW",
"city": "LAUREL",
"state": "MD",
"postal_code": "207235882",
"telephone_number": "202-281-5205",
"fax_number": "202-281-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANU",
"first_name": "ISATU",
"middle_name": "TATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1041869",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "RNP1041869",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R225358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.