Ahanna Health and Wellness, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

AHANNA HEALTH AND WELLNESS, LLC

Practice address

173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530

Phone

(240) 729-6250

Fax

(949) 695-4106

NPI assigned

Feb 13, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy L Fusilier, CRNPNPI 1366096034

Title

Owner/NP

Phone

(240) 729-6250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Fusilier, CRNP

  • Gerontology Nurse Practitioner
  • Waldorf, MD
  • NPI 1366096034
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1891559530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SAINT PATRICKS DR STE 104",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035530",
            "telephone_number": "240-729-6250",
            "fax_number": "929-695-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 SAINT PATRICKS DR STE 104",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035530",
            "telephone_number": "240-729-6250",
            "fax_number": "949-695-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHANNA HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "FUSILIER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "240-729-6250",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha Home Health Services LLC
• Agent of Change, LLC
• Rommel Aguilar
• Felix Joseph Aguto III, D.D.S.
• Brittany Agyemang
• Omar Farooq Ahmad, MD
• Tracy Lee Aigner, O.D.
• Alycia Ajayi
• Olufunke Omowumi Ajayi, CRNP-F
• Ajs Counseling and Consulting Service, LLC

• Adult Health Nurse Practitioner in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.