Individual provider Active NPI

Delali Adjele Tetteh-Assiakoley, CRNP-FAMILY

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1902478415
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R184207 Issued in MD
Practice address
7505 Osler Dr Ste 208
Towson, MD 21204-7738
Phone
(410) 821-7572
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R184207 MD Primary

Addresses

Primary practice location

7505 Osler Dr Ste 208
Towson, MD 21204-7738

Mailing address

7505 Osler Dr Ste 208
Towson, MD 21204-7738
Phone (410) 821-7552

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
R184207MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Mostafa MD PA PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 1

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1902478415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 208",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047738",
            "telephone_number": "410-821-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 208",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047738",
            "telephone_number": "410-821-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH-ASSIAKOLEY",
        "first_name": "DELALI",
        "middle_name": "ADJELE",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R184207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.