Cordelia Nieketien-Tawari

LBN: Cornita Mental Health Services, Llc
Cordelia Nieketien-Tawari is an health care organization with primary practice located at 1800 Town Center Dr Ste 420 , Reston VA 20190-3240. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Cornita Mental Health Services, Llc can be contacted via phone (703) 869-5361, or through Nieketien-Tawari, Cordelia via phone (703) 869-5361.

Contact Information

Primary practice address
1800 Town Center Dr Ste 420 Reston VA 20190-3240
Phone: (703) 869-5361
Fax: (703) 957-3625
Website:
Map and Directions
Authorized official contact:
Name: Nieketien-Tawari, Cordelia DNP, APRN-BC, LNP
Phone: (703) 869-5361

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0017137987 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024165883 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024165883 Virginia

Profile Details

NPI number 1134524580
LBN Legal business name Cornita Mental Health Services, Llc
DBA Doing business as Cordelia Nieketien-Tawari
Authorized official Nieketien-Tawari, Cordelia DNP, APRN-BC, LNP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2014
Last updated Mar 25th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134524580 NPPES
Virginia Other 1134524580 NPI (2)
Virginia Other 11946976 NPI (2)
Virginia Other 1194827139 NPI (2)
Virginia Other 0024165883 NPI (2)

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