EVELINE M FOHTUNG NPI 1649004979

NPI Information

  • NPI: 1649004979
  • Provider Name: EVELINE M FOHTUNG
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8575 RIXLEW LN
    MANASSAS, VA
    ZIP 20109
  • Phone: (301) 593-1315

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NPI Details

Eveline M Fohtung is a psychiatric/mental health nurse practitioner in Manassas, VA with 2 years of experience. Eveline M Fohtung NPI is 1649004979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8575 RIXLEW LN
MANASSAS, VA
ZIP 20109-701
Phone: (301) 593-1315

The NPI 1649004979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2024 and was last updated on 1/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health2024010898VIRGINIANo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult2024010898VIRGINIANo
3364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent2024010898VIRGINIANo
4364SP0810XClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family2024010898VIRGINIANo
5364SP0811XClinical Nurse SpecialistPsychiatric/Mental Health, Chronically Ill2024010898VIRGINIANo
6364SP0812XClinical Nurse SpecialistPsychiatric/Mental Health, Community2024010898VIRGINIANo
7364SP0813XClinical Nurse SpecialistPsychiatric/Mental Health, Geropsychiatric2024010898VIRGINIANo
8363LP0808XNurse PractitionerPsychiatric/Mental Health0024191081VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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