Antonia Evans, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024182843 Issued in VA

Practice address

13880 Braddock Rd Ste 201
Centreville, VA 20121-2461

Phone

(703) 802-6304

NPI assigned

Oct 12, 2021

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Antonia Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Union Mill Pediatrics,PC

  • Legal Medicine
  • Centreville, VA
  • NPI 1114091931
  NPD (past)

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1821750373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 JEREMY GRV",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308556",
            "telephone_number": "734-352-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212461",
            "telephone_number": "703-802-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "SMITH",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ens Medical Transport LLC.
• Maura Elser Eriksson, MD
• Wayne Richard Eriksson, MD
• Maria C Espinal
• Ashley M F Estes
• Everyone Inc.
• Fairfax Family Practice Centers, P.C. (Family Medicine of Clifton-Centreville)
• Fairfax Radiological Consultants PC
• Beverly Fajardo
• Falbo & Thomas, DDS

• Family Nurse Practitioner in Centreville, VA
• Providers in Centreville, 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 13, 2023; 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.