Eunice N Kpaduwa, PMHNP- BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024197350 Issued in VA

Practice address

46179 Westlake Dr Ste 220
Sterling, VA 20165-5874

Phone

(703) 994-7406

NPI assigned

May 7, 2026

Last updated

May 7, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1639006034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42699 WARDLAW TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473581",
            "telephone_number": "703-994-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46179 WESTLAKE DR STE 220",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655874",
            "telephone_number": "703-994-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPADUWA",
        "first_name": "EUNICE",
        "middle_name": "N",
        "credential": "PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024197350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susmita Koppella, PT
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• Cory Edward Kraftson, PA-C
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• Psychiatric/Mental Health Nurse Practitioner in Sterling, VA
• Providers in Sterling, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.