Tetyana Evans, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R173941 Issued in MD

Practice address

2528 Mountain Rd Ste 102-204
Pasadena, MD 21122-7203

Phone

(443) 839-6928

NPI assigned

May 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tetyana Lepley Other name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Evolve Life Centers Iop LLCGroup PAC ID 6002291051, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17431/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evolve Life Centers Iop LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, MD
  • NPI 1568123966
  Medicare reassignment Care Compare group NPD
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dundalk, MD
  • NPI 1104375294

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Triumph Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Catonsville, MD
  • NPI 1376999581
  Medicare reassignment NPD
• Matclinic Physicians Practice Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1801448360
  NPD
• Evolve Life Centers Iop LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pasadena, MD
  • NPI 1851838643
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1285927723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227203",
            "telephone_number": "443-548-3733",
            "fax_number": "410-360-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 MOUNTAIN RD STE 102-204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227203",
            "telephone_number": "443-839-6928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Frederick Rd Ste 162",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284646",
            "country_code": "US",
            "telephone_number": "443-637-1002",
            "fax_number": "410-276-4075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Crain Hwy N Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613543",
            "country_code": "US",
            "telephone_number": "410-553-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TETYANA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R173941",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R173941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041988500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TETYANA",
            "last_name": "LEPLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Jean Erceg, NP
• Eren and Atluri, MDS,LLC
• Tiffany Jamie Erler, MS, CCC-SLP
• Tracy Senyo Essuah-Mensah, PHARM.D
• Ramiz Estafanos
• Evolve Health Partners
• Evolve Health Partners
• Evolve Life Centers Iop LLC
• Evolve Life Centers Iop LLC
• Evolve Life Centers Iop LLC

• Psychiatric/Mental Health Nurse Practitioner in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.