Primal Health Family Practice
NPI 1013470772ActiveOrganization· Nurse Practitioner, Family· Waldorf, MD
Nurse Practitioner, Family in Waldorf, Maryland, registered in NPPES in April 2019. The authorized official on file is Nnegadi Tataw, CRNP, Ceo.
Overview
| NPI | 1013470772 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2019 |
| Last updated in NPPES | Oct 31, 2023 |
| Certified by provider | Oct 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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