Active NPI
Evita Kvista
- Gerontology Nurse Practitioner
- Hanover, MD
National Provider Identifier
1013594092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R275992
- Practice address
- 7550 Teague Rd Ste 500
Hanover, MD 21076-1945 - Phone
- (410) 412-3964
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R275992 | MD | Primary |
Addresses
Primary practice location
7550 Teague Rd Ste 500
Hanover, MD 21076-1945
Mailing address
2631 Midway Branch Dr Apt 201
Odenton, MD 21113-4107
Phone (949) 456-1893
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
| License | State | Type | Specialty |
|---|---|---|---|
| R275992 | MD | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1013594092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 MIDWAY BRANCH DR APT 201",
"city": "ODENTON",
"state": "MD",
"postal_code": "211134107",
"telephone_number": "949-456-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 TEAGUE RD STE 500",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761945",
"telephone_number": "410-412-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVISTA",
"first_name": "EVITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R275992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.