Individual provider Active NPI

Nanah Hannah Sevalie, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Beltsville, MD
National Provider Identifier
1356815112
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R180839 Issued in MD
Practice address
4041 Powder Mill Rd Ste 206
Beltsville, MD 20705-3106
Phone
(301) 806-0997
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R180839 MD Primary

Addresses

Primary practice location

4041 Powder Mill Rd Ste 206
Beltsville, MD 20705-3106

Mailing address

4211 Sugar Pine CT
Burtonsville, MD 20866-1153
Phone (240) 421-6507

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R180839MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Care Wellness LLC Current Accepting new patients
Tomics Medical LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

6323 Georgia Ave NW
Ste 370
Washington, DC 20011

4041 Powder Mill Rd
Ste 206
Beltsville, MD 20705
Phone (301) 806-0997

4041 Powder Mill Rd
Ste 310
Beltsville, MD 20705
Phone (240) 421-2538

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1356815112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 SUGAR PINE CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661153",
            "telephone_number": "240-421-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 POWDER MILL RD STE 206",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053106",
            "telephone_number": "301-806-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVALIE",
        "first_name": "NANAH",
        "middle_name": "HANNAH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R180839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.