ET FAMILY PRACTICE, INC.
NPI 1124364757
Nurse Practitioner - Family in Greenbelt, MD

Q: What is Et Family Practice, Inc.'s NPI number?

The NPI number for Et Family Practice, Inc. is 1124364757. It was assigned to this organization in the NPPES registry on January 1, 2013.

Q: What is Et Family Practice, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 01, 2013CLIA 21D0883563 · Waiver

7231 HANOVER PKWY STE A, GREENBELT, MD 20770(240) 386-9682(301) 477-7352 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Feb 10, 2020, Mar 27, 2018 (3 updates tracked since 2018).

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About Et Family Practice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ET FAMILY PRACTICE, INC. (NPI 1124364757) is a healthcare organization registered as a family in Greenbelt, Maryland and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through March 9, 2028, maintains a secondary practice location in Columbia, and lists Eta Stephen Tataw, Owner, as its authorized official.

NPPES Registry Identity

NPI1124364757

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameET FAMILY PRACTICE, INC.

Location Address7231 HANOVER PKWY STE AGreenbelt, MD 20770-2027

Mailing Address7231 Hanover Pkwy Ste AGreenbelt, MD 20770-2027 · (301) 982-7898 · Fax (301) 982-2588

Phone(240) 386-9682

Fax(301) 477-7352

Organization SubpartNo

Authorized OfficialEta Stephen TatawOwner · (301) 982-7898

Enumeration DateJanuary 1, 2013

Last NPPES UpdateFebruary 24, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2023

✔ NPI 1124364757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R178223

7231 HANOVER PKWY STE A, Greenbelt, MD 20770

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Secondary Practice Location 1

Location 18600 Snowden River Pkwy Ste 306Columbia, MD 21045-1986 · Phone (443) 546-4172

Other Identifiers 2

Medicaid337807100MD

Medicaid424652700MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0883563

Et Family Practice Inc · Greenbelt, MD

Active · expires Mar 9, 2028

CLIA Number21D0883563

Laboratory TypePhysician Office

Certificate Effective DateMarch 10, 2026

Certificate Expiration DateMarch 9, 2028

Laboratory DirectorEta Stephen Tataw

Laboratory Phone(301) 982-7898

Laboratory LocationEt Family Practice Inc7231-A Hanover Parkway, Greenbelt, MD 20770

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EZINNE NWADIGO

Nurse Practitioner (Gerontology)