Individual provider Active NPI

Christiana Odoom Darko, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristow, VA
National Provider Identifier
1396508941
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024189416 Issued in VA
Practice address
10489 Tenth Alabama Way
Bristow, VA 20136-1326
Phone
(630) 484-0767
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024189416 VA Primary

Addresses

Primary practice location

10489 Tenth Alabama Way
Bristow, VA 20136-1326

Mailing address

10489 Tenth Alabama Way
Bristow, VA 20136-1326
Phone (630) 484-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250911005124 DC Practitioner - Nurse Practitioner 1456854728 Reassigns benefits to 1 organization
I20251208002560 VA Practitioner - Nurse Practitioner 1456854728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Healthva LLCGroup PAC ID 5991241986, 19 clinicians

Practice addresses (Care Compare)

14011 Worth Ave
Suite 130And150
Woodbridge, VA 22192-4123
Phone (703) 543-9948

14554 Lee Rd
Chantilly, VA 20151-1775
Phone (703) 543-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Healthva, LLC CurrentSince Sep 22, 2025 Accepting new patients
Connections Healthva, LLC CurrentSince Aug 12, 2025 Accepting new patients
Connections Healthva, LLC Current Accepting new patients
Connections Healthva, LLC CurrentSince Aug 12, 2025 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

14554 Lee Rd
Chantilly, VA 20151
Phone (703) 543-9948

14011 Worth Ave
Ste 130150
Woodbridge, VA 22192
Phone (703) 543-9948

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1396508941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10489 TENTH ALABAMA WAY",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361326",
            "telephone_number": "630-484-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10489 TENTH ALABAMA WAY",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361326",
            "telephone_number": "630-484-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARKO",
        "first_name": "CHRISTIANA",
        "middle_name": "ODOOM",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024189416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

Verify at the official NPI Registry.