DR. KOSSI PIERRE EKLOU (NPI# 1609360635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609360635 |
| Entity Type | Individual |
| Full Name | DR. KOSSI PIERRE EKLOU |
| Credential | DNP, APRN, PMHNP-BC |
| Practice Address |
8680 Hospital Way Manassas VA 20110-4287 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033698464 |
| Practice Fax Number | 7033698467 |
| Mailing Telephone | 7033698464 |
| Mailing Fax Number | 7033698467 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024176205 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8680 HOSPITAL WAY |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950856 | William Plaxco | Psychologist | 8680 Hospital Way, Manassas, VA 20110-4287 | 2005-08-23 |
| 1750937751 | Patricia Obeng | Nurse Practitioner | 8680 Hospital Way, Manassas, VA 20110-4287 | 2019-08-15 |
| 1518322668 | Nmg Affiliate Practice 1, LLC | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110-4287 | 2015-12-16 |
| 1659770774 | Nmg Affiliate Practice I, LLC | Psychologist | 8680 Hospital Way, Manassas, VA 20110-4287 | 2014-08-14 |
| 1427496496 | Dana Mohl | Nurse Practitioner | 8680 Hospital Way, Manassas, VA 20110 | 2013-06-12 |
| 1659716918 | Maria Elena Moreno | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2013-04-30 |
| 1649598244 | Partam Manalai | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2010-05-07 |
| 1811124076 | Nysa Marinda Paysour | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110-4287 | 2009-06-16 |
| 1629277074 | Karyn Flannagan | Psychologist | 8680 Hospital Way, Manassas, VA 20110-4287 | 2007-07-16 |
| 1720282429 | Adedute A Gbadehan | Psychiatry & Neurology | 8680 Hospital Way, Manassas, VA 20110 | 2007-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1811521461 | Patience Otaigbe | Nurse Practitioner | 7722 Visionary Ct, Manassas, VA 20112-7533 | 2020-02-22 |
| 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.