Evelyne Kingori, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R196644 Issued in MD

Practice address

3022 Javier Rd Ste 105a
Fairfax, VA 22031-4646

Phone

(202) 247-8897

NPI assigned

Jul 7, 2019

Last updated

Apr 8, 2020By 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

Enrolled in DC, VA, MD3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Prestige Medical House Call LLC

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1497316269

  DC

  Medicare reassignment NPD
• Starting Point of Virginia, P.C.

  dba Crossroads Treatment Centers

  • Multi-Specialty Clinic/Center
  • Abingdon, VA
  • NPI 1760949127
  Medicare reassignment NPD
• Virginia Treatment Center of Lynchburg PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lynchburg, VA
  • NPI 1902791353
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  DC, MD

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Assent Healthcare Services LLC

  • Family Nurse Practitioner
  • Aspen Hill, MD
  • NPI 1639702285
  Authorized official Same address or phone
• Starting Point of Virginia, P.C.

  dba Crossroads Treatment Centers Abingdon

  • Clinical Medical Laboratory
  • Abingdon, VA
  • NPI 1720656259
  NPD
• Ancient Healing Healthcare Services,LLC

  • Home Health Agency
  • Alexandria, VA
  • NPI 1356854608
  NPD (past)
• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1184879975

  Family Medicine

  NPD (past)
• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1952713117
  NPD (past)

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1821650177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD STE 105A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD STE 105A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314646",
            "telephone_number": "202-247-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGORI",
        "first_name": "EVELYNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly E King, MD
• Natalie Ellen King, DPT
• Sarah Abigale King, LCSW
• Tyler King
• Kingdom Home Health Care
• Rachel Kinlaw, BCBA, LBA
• Kimberly Ann Kinney, FNP
• Kintsugi Counseling & Wellness PLLC
• Jamie Michelle Kirby, CRNA
• William C Kirby, M.D.

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.