Active NPI
Melvina Sonia Evereklian, CRNP
- Pediatric Nurse Practitioner
- MC Lean, VA
National Provider Identifier
1376044545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024183842
- Practice address
- 8365 Greensboro Dr Ste a
MC Lean, VA 22102-3530 - Phone
- (703) 356-4444
- Fax
- (703) 734-0129
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R178118 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | 0024183842 | VA | Primary |
Addresses
Primary practice location
8365 Greensboro Dr Ste a
MC Lean, VA 22102-3530
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (571) 982-6636
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 |
|---|---|---|---|
| R178118 | MD | MD | Pediatric Nurse Practitioner |
| 0024183842 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1376044545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N GLEBE RD STE 700",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222034173",
"telephone_number": "571-982-6636",
"fax_number": "240-696-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8365 GREENSBORO DR STE A",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023530",
"telephone_number": "703-356-4444",
"fax_number": "703-734-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVEREKLIAN",
"first_name": "MELVINA",
"middle_name": "SONIA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R178118",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024183842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.