NPIMap

Organization Active NPI

Avesta Mental Health

Doing business as Avesta Ketamine and Wellness

  • Certified Registered Nurse Anesthetist
  • Bethesda, MD
National Provider Identifier
1467165571
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
AVESTA MENTAL HEALTH
Doing business as
Avesta Ketamine and Wellness
Practice address
4833 Rugby Ave Ste 400
Bethesda, MD 20814-3915
Phone
(301) 778-1022
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Ladan Eshkevari, PHD, CRNANPI 1780682534
Title
Ceo
Phone
(703) 201-7767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

4833 Rugby Ave Ste 400
Bethesda, MD 20814-3915

Mailing address

1268 Beverly Rd
MC Lean, VA 22101-2834

Other practice location 1

1400 16th St NW Ste 101
Washington, DC 20036-2222
Phone (202) 506-4116

Other practice location 2

6861 Elm St Ste 3E
Mc Lean, VA 22101-6036
Phone (703) 570-1346

Other names 1

  • Avesta Ketamine and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4833 Rugby Ave
Ste 400
Bethesda, MD 20814
Phone (301) 200-9333

8000 Towers Crescent Dr
Ste A150
Vienna, VA 22182
Phone (703) 646-6343

8000 Towers Crescent Dr
Ste 1700
Vienna, VA 22182

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1467165571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 BEVERLY RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221012834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 RUGBY AVE STE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143915",
            "telephone_number": "301-778-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 16th St NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200362222",
            "country_code": "US",
            "telephone_number": "202-506-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6861 Elm St Ste 3E",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221016036",
            "country_code": "US",
            "telephone_number": "703-570-1346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVESTA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ESHKEVARI",
        "authorized_official_first_name": "LADAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-201-7767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avesta Ketamine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.