EVANNA CORRIN BURKETT (NPI# 1255504742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255504742 |
| Entity Type | Individual |
| Full Name | EVANNA CORRIN BURKETT |
| Credential | RN |
| Practice Address |
163 Fort Evans Rd Ne Leesburg VA 20176-4420 |
| Mailing Address |
3200 Northline Ave Ste 130 Greensboro NC 27408-7600 |
| Practice Telephone | 7034432000 |
| Practice Fax Number | 7034432033 |
| Mailing Telephone | 3362866565 |
| Mailing Fax Number | 3362866565 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2020-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 210912 | NC | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
210912 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024173736 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Northline Ave Ste 130, Greensboro, NC 274087600 | 3362866565 | 3362866565 |
| 152 Deer Run Rd, Danville, VA 245402862 | 4348354601 | 4348354673 |
| Street Address |
163 FORT EVANS RD NE |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205862588 | Suneetha Devi Jagarlamudi | Family Medicine | 163 Fort Evans Rd Ne, Loudoun Community Health Center, Leesburg, VA 20176-4420 | 2006-06-25 |
| 1639799497 | Amanda Gatling | Nurse Practitioner | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2020-04-22 |
| 1497388227 | Judith Ann Hampson | Dental Hygienist | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2020-02-20 |
| 1750912242 | Miguel Martinez | Social Worker | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2020-02-03 |
| 1407409188 | Meagan Ulrich | Nurse Practitioner | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2019-07-22 |
| 1295396018 | Mary Jo Delahunt | Dental Hygienist | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2019-06-24 |
| 1275090912 | Denisse Alejandra Castillo | Pediatrics | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2019-03-01 |
| 1104382142 | Jane Thompson Slomski | Social Worker | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2019-02-14 |
| 1407330681 | Maria A Bogdanova | Physician Assistant | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2018-09-24 |
| 1316427768 | Nancy Elisabeth Kirk | Social Worker | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464470 | April Christina Haukoos | Nurse Practitioner | 1017 W Dixie Ave, Leesburg, FL 34748-6309 | 2009-04-30 |
| 1821258484 | Susan Maureen Archacki-resnik | Nurse Practitioner | Lifestream Behavioral Center, 2020 Tally Rd, Leesburg, FL 34749-1000 | 2008-06-16 |
| 1821163940 | Linda D Stalters | Nurse Practitioner | 43490 Millwright Ter, Leesburg, VA 20176-8466 | 2006-11-22 |
| 1275622375 | Paula K Reilley | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2006-10-12 |
| 1952879439 | Mika Lyne Riley | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2018-11-02 |
| 1689191017 | Yoneka Tahisha Powell | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2017-08-25 |
| 1770987570 | Maria Jeffries | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2014-10-22 |
| 1679892616 | Kristie Johnson | Nurse Practitioner | 215 N 3rd St, Leesburg, FL 34748-5105 | 2010-05-28 |
| 1346261104 | Kathleen Jones-shupe | Nurse Practitioner | 101 S 11th St, Suite1, Leesburg, FL 34748-5767 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
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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.