MRS. FATMATA TITY TARAWALI (NPI# 1174622989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174622989 |
| Entity Type | Individual |
| Full Name | MRS. FATMATA TITY TARAWALI |
| Credential | APRN |
| Practice Address |
4390 Montgomery Rd Ellicott City MD 21043-6068 |
| Mailing Address |
6903 Greenvale Pkwy Hyattsville MD 20784-1538 |
| Practice Telephone | 4102031700 |
| Practice Fax Number | 4102031026 |
| Mailing Telephone | 3017720957 |
| Mailing Fax Number | 3017721628 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN50629 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R091956 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 029880400 | 05 |
| Street Address |
4390 MONTGOMERY RD |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101486 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2006-07-24 |
| 1114448024 | Charles U Nwachukwu | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-30 |
| 1336669654 | James Craig Doty | Pharmacist | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-27 |
| 1811426893 | Luxottica Retail North America Inc. | Eyewear Supplier (Equipment, not the service) | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2017-06-05 |
| 1114317914 | Jonathan Wan | Pharmacy Technician | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2015-01-31 |
| 1154726990 | Sudin Thomas | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2014-10-22 |
| 1659710168 | Darcy K. Mccarty | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2013-06-18 |
| 1700224920 | Aarthi Sathya | Nurse Practitioner | 4390 Montgomery Rd, Ellicott City, MD 21043-6068 | 2013-06-10 |
| 1497042089 | Shirin Siahpoushan | Pharmacist | 4390 Montgomery Rd, T-1042, Ellicott City, MD 21043-6068 | 2011-07-01 |
| 1669768883 | Lynne Roman | Pharmacist | 4390 Montgomery Rd, T-1042, Ellicott City, MD 21043-6068 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340537 | Wubit Tilahun Raru | Nurse Practitioner | 3290 N Ridge Rd Ste 100, Ellicott City, MD 21043-3689 | 2020-09-14 |
| 1669938262 | Alyssa Newman | Nurse Practitioner | 4016 Heritage Hill Ln, Ellicott City, MD 21042-1205 | 2019-02-19 |
| 1750896437 | Olusola Aina Essien | Nurse Practitioner | 3214 Birchmede Dr, Ellicott City, MD 21042-2302 | 2017-12-04 |
| 1255881686 | Mercy Ijoma | Nurse Practitioner | 9055 Chevrolet Dr Ste 205, Ellicott City, MD 21042-4000 | 2016-10-10 |
| 1790069490 | Stephanie Rae Gillis | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2011-09-29 |
| 1861680506 | Catherine Frost | Nurse Practitioner | 3300 Centenial Ln, Ellicott City, MD 21042-3600 | 2007-10-09 |
| 1124012711 | Tyra Sharron Carter | Nurse Practitioner | 3247 Halcyon Ct, Ellicott City, MD 21043-3379 | 2005-09-09 |
| 1285268300 | Dathao Huynh | Nurse Practitioner | 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 | 2020-02-27 |
| 1821635749 | Colman Ejerenwa | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2019-12-10 |
| 1316599145 | Helen Isabelle Scott-bayley | Nurse Practitioner | 4310 English Morning Ln, Ellicott City, MD 21043-6790 | 2019-07-11 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
Please comment or provide details below to improve the information on MRS. FATMATA TITY TARAWALI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.