Vivian Denise Everett, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

30019 Issued in NC

Practice address

1100 Navaho Dr
Suite 121
Raleigh, NC 27609-7319

Phone

(919) 845-4620

Fax

(919) 846-8126

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1598799728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689",
            "telephone_number": "828-891-5524",
            "fax_number": "828-891-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NAVAHO DR",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097319",
            "telephone_number": "919-845-4620",
            "fax_number": "919-846-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "VIVIAN",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "30019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930948",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant John Everding
• Everest Long Term Care, LLC
• Cynthia Jo Everett, CRNA
• Jasmine Hendricks Everett
• Katherine Everett, M.A.
• Alexis Everette
• Evergreen Behavioral Health & Wellness, PLLC
• Joseph Brittain Everhart, CRNA
• Walker Elliott Everhart
• Carol Jean Everly, ANP

• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.