Preval Health Care

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

PREVAL HEALTH CARE

Practice address

2908 Cabin Creek Dr
Burtonsville, MD 20866-1839

Phone

(301) 257-0563

Fax

(414) 800-1893

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Nova Preval, CRNPNPI 1053879429

Title

Owner

Phone

(301) 257-0563

Specialties & licenses 1

Addresses

Other names 1

• EMPOWER HEALTH CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nova La Marr Preval, CRNP

  • Primary Care Nurse Practitioner
  • Burtonsville, MD
  • NPI 1053879429

  Adult Health, DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1558086330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 CABIN CREEK DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661839",
            "telephone_number": "301-257-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 CABIN CREEK DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661839",
            "telephone_number": "301-257-0563",
            "fax_number": "414-800-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "PREVAL",
        "authorized_official_first_name": "NOVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-257-0563",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMPOWER HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Health Nurse Practitioner in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.