Evana Health Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EVANA HEALTH SERVICES

Practice address

13000 Harbor Center Dr Ste 102G
Woodbridge, VA 22192-2847

Phone

(571) 292-6272

NPI assigned

Sep 5, 2021

Organization subpart

No

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

Authorized official

Name

Evelyn Nuwordu, DNPNPI 1851835847

Title

Business Owner

Phone

(571) 292-6272

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Worlali Nuwordu, PMHNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1851835847

  VA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630800000000",
    "number": "1891463675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12526 HOMESTEAD DR",
            "city": "NOKESVILLE",
            "state": "VA",
            "postal_code": "201811702",
            "telephone_number": "571-292-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 HARBOR CENTER DR STE 102G",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922847",
            "telephone_number": "571-292-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A",
        "authorized_official_last_name": "NUWORDU",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "571-292-6272",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "13000 Harbor Center Dr Ste 102G",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.