Tynisha Diane Kadiri, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Govans, Maryland. Tynisha Diane Kadiri is licensed to practice in Maryland (license number R184543) and her current practice location is
5900 York Rd Ste 202, Govans, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 466-7500.
NPI number for Tynisha Diane Kadiri is 1508342817 and her current mailing address is 5712 Roland Ave Apt 2d, Baltimore, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508342817.
Provider's Profile
| Full Name | Tynisha Diane Kadiri |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 5900 York Rd Ste 202, Govans, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508342817
- Provider Enumeration Date: 07/19/2018
- Last Update Date: 06/19/2025
Medical Identifiers
Medical identifiers for Tynisha Diane Kadiri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508342817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R184543 (Maryland) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | R184543 (Maryland) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | R184543 (Maryland) | Secondary |
| 207P00000X | Emergency Medicine | R184543 (Maryland) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | R184543 (Maryland) | Secondary |
| 2083T0002X | Preventive Medicine - Medical Toxicology | R184543 (Maryland) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | R184543 (Maryland) | Secondary |
| 208D00000X | General Practice | R184543 (Maryland) | Secondary |
| 208M00000X | Hospitalist | R184543 (Maryland) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | R184543 (Maryland) | Secondary |
| 174H00000X | Health Educator | (Maryland) | Secondary |
| 102L00000X | Psychoanalyst | R184543 (Maryland) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | R184543 (Maryland) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | R184543 (Maryland) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tynisha Diane Kadiri is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tynisha Diane Kadiri, PMHNP
5712 Roland Ave Apt 2d,
Baltimore, MD 21210-1352
Ph: (433) 514-5775 | Tynisha Diane Kadiri, PMHNP
5900 York Rd Ste 202,
Govans, MD 21212-3098
Ph: (443) 466-7500 |
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