TETYANA EVANS (NPI# 1285927723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285927723 |
Entity Type | Individual |
Full Name | TETYANA EVANS |
Other Name | TETYANA LEPLEY |
Credential | PMHNP |
Practice Address |
40 S Dundalk Ave Ste 400 Dundalk MD 21222-4273 |
Mailing Address |
503 Albemarle St Baltimore MD 21202-4304 |
Practice Telephone | 4102200720 |
Mailing Telephone | 4102200720 |
Enumeration Date | 2011-05-17 |
Last Update Date | 2020-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R173941 | MD | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R173941 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 041988500 | 05 |
Street Address |
40 S DUNDALK AVE STE 400 |
City | DUNDALK |
State | MD |
Zip Code | 21222-4273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255534756 | Enrique Ivan Oviedo | Psychiatry & Neurology | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2007-06-11 |
1336759075 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2020-08-07 |
1760031876 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2019-09-11 |
1720637747 | Matclinic Physicians Practice Group LLC | Community/Behavioral Health | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2019-09-11 |
1801448360 | Matclinic Physicians Practice Group LLC | Counselor | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2019-07-15 |
1063904985 | Matclinic Physicians Practice Group LLC | Clinical Medical Laboratory | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2018-06-06 |
1073037479 | Betty Githuku | Nurse Practitioner | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2017-07-28 |
1104375294 | Matclinic Physicians Practice Group LLC | Counselor | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222 | 2016-09-29 |
1023307733 | Lorena Blanco | Counselor | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2011-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
Find all providers in zip 21222 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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1659981728 | Jamie Briddell | Nurse Practitioner | 250 N Calvert St, Baltimore, MD 21202-3505 | 2020-08-04 |
1881202570 | Jisha S Varghese | Nurse Practitioner | 3257 Ramblewood Rd, Ellicott City, MD 21042-2445 | 2020-07-19 |
1710505524 | Jillian E Haney | Nurse Practitioner | 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 | 2020-07-08 |
1164040200 | Srkite Associates | Nurse Practitioner | 8 Sudbrook Ln Ste 1a, Pikesville, MD 21208-4132 | 2020-07-06 |
1447877279 | Katherine O'bryan | Nurse Practitioner | 176 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4529 | 2020-06-27 |
1790300903 | Hall Diabetes Management and Resource Center PC | Nurse Practitioner | 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 | 2020-06-12 |
1376162362 | Thomas Nemer II | Nurse Practitioner | 2225 Old Emmorton Rd Ste 111, Bel Air, MD 21015-6122 | 2020-04-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.