Basic Information
Provider Information
NPI: 1144356007
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EVERETT
FirstName: APRIL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3020 14TH ST NW
Address2: SUITE 402 B
City: WASHINGTON
State: DC
PostalCode: 200096865
CountryCode: US
TelephoneNumber: 2027454300
FaxNumber: 2024623428
Practice Location
Address1: 1201 BRENTWOOD RD NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200181019
CountryCode: US
TelephoneNumber: 2028328818
FaxNumber: 2028328575
Other Information
ProviderEnumerationDate: 02/26/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD33948DCY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
02490530005DC MEDICAID


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