Individual provider Active NPI

Isatu Tata Kanu

  • Registered Nurse
  • Laurel, MD
National Provider Identifier
1891058913
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1041869 Issued in DC
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

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN1041869DCMDRegistered Nurse
RNP1041869DCMDPsychiatric/Mental Health Nurse Practitioner
R225358MDMDPsychiatric/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.

Verify at the official NPI Registry.