Individual provider Active NPI

Evette Johnson, FNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1689499147
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024193249 Issued in VA
Practice address
4620 S Laburnum Ave
Richmond, VA 23231-2424
Phone
(804) 226-2444
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024193249 VA Primary

Addresses

Primary practice location

4620 S Laburnum Ave
Richmond, VA 23231-2424

Mailing address

6818 Kingsland Creek Dr
Chesterfield, VA 23832-7698

Other names 1

  • Miss Evette Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710002423 VA Practitioner - Nurse Practitioner 7113431016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Memorial Regional Medical Center LLCGroup PAC ID 6507775293, 15 clinicians

Practice addresses (Care Compare)

4620 S Laburnum Ave
Richmond, VA 23231-2424
Phone (804) 226-2444

8220 Meadowbridge Rd
Mechanicsville, VA 23116-2339
Phone (804) 226-2444

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince Jun 30, 2025 Accepting new patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients

Locations

8220 Meadowbridge Rd
Ste 203
Mechanicsvlle, VA 23116
Phone (804) 226-2444

4620 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

Interoperability endpoints

  • Direct secure messaging: ethomasjohnson2678809@direct.bsmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1689499147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 KINGSLAND CREEK DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 S LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312424",
            "telephone_number": "804-226-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EVETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVETTE",
            "last_name": "THOMAS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.