Eutierria Healthcare Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EUTIERRIA HEALTHCARE SERVICES, LLC

Practice address

203 Bryan Way Ste a
Reisterstown, MD 21136-5958

Phone

(410) 852-1020

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Helen Anokhin-Mogilnay, CRNPNPI 1205139870

Title

Owner

Phone

(410) 852-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Tax ID family

Eutierria Healthcare Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eutierria Healthcare Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reisterstown, MD
  • NPI 1669120846
  NPD tax ID

Practitioners 1

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.

• Helen Anokhin-Mogilnay, C.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Reisterstown, MD
  • NPI 1205139870

  DC, Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1538700844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BRYAN WAY STE A",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365958",
            "telephone_number": "410-852-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BRYAN WAY STE A",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365958",
            "telephone_number": "410-852-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUTIERRIA HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "ANOKHIN-MOGILNAY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-852-1020",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570114700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Baltimore",
            "affiliation": "N",
            "address_1": "203 Bryan Way Ste A",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211365958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Laura Evans
• Evision Mental Health Services LLC
• Evision Mental Health Services LLC
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• Family Nurse Practitioner in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.