Mdevans LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

916149 Issued in VA

Legal business name

MDEVANS LLC

Doing business as

MDEvans Adult Residential & DSS Training

Practice address

5660 E Virginia Beach Blvd
Suite 102
Norfolk, VA 23502-2468

Phone

(757) 469-9604

NPI assigned

Sep 11, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Fiata D Jones

Title

Managing Member

Phone

(757) 496-9604

Specialties & licenses 1

Addresses

Other names 1

• MDEvans Adult Residential & DSS Training Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1265833081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 E VIRGINIA BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 E VIRGINIA BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022468",
            "telephone_number": "757-469-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDEVANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "FIATA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "757-496-9604",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "916149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDEvans Adult Residential & DSS Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison McNicholas
• Hugh Thomas McPhee, MD
• Fiora Lynn McRae, MD
• Lakeera McRath
• Jeffrey Donald McTavish, MD
• Cameron James Meade
• Joy Meade, DDS
• Monique Jamila Meade, MD
• Joe Meador, LCSW
• Laura N Meadows, D.O.

• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.