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CORDELIA NIEKETIEN-TAWARI
NPI 1134524580
Nurse Practitioner - Psychiatric/Mental Health in Reston, VA

Active since October 28, 2014
1800 TOWN CENTER DR STE 420, RESTON, VA 20190(703) 869-5361(703) 957-3625 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Jan 5, 2024, Dec 13, 2023 and 1 more (4 updates tracked since 2023).

About Cordelia Nieketien-tawari NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORDELIA NIEKETIEN-TAWARI (NPI 1134524580) is a healthcare organization registered as a psychiatric/mental health in Reston, Virginia and active in the NPI registry since October 2014. The organization lists Cordelia Nieketien-tawari, Ceo/psych Np Probider, as its authorized official.

NPPES Registry Identity

NPI1134524580
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCORNITA MENTAL HEALTH SERVICES, LLC
Location Address1800 TOWN CENTER DR STE 420Reston, VA 20190-3240
Mailing AddressPo Box 2692Reston, VA 20195-0692 · (703) 869-5361 · Fax (703) 957-3625
Phone(703) 869-5361
Fax(703) 957-3625
Organization SubpartNo
Authorized OfficialCordelia Nieketien-tawariCeo/psych Np Probider · (703) 869-5361
Enumeration DateOctober 28, 2014
Last NPPES UpdateMarch 25, 20244 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1134524580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024165883
Also ListedRegistered NurseTaxonomy 163W00000X · License 0017137987 (VA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024165883 (VA)
1800 TOWN CENTER DR STE 420, Reston, VA 20190
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Other Names 1

Doing Business AsCordelia Nieketien-tawari

Other Identifiers 4

Other1134524580VA · Npi (2)
Other11946976VA · Caqh No.
Other1194827139VA · Npi (1)
Other0024165883VA · Va State Board Of Nursing-np License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMRAN AKRAM MD
Psychiatry & Neurology (Psychiatry)
1800 TOWN CENTER DR STE 420
RESTON, VA 20190
Fairfax County (703) 574-6311
ACUMEN BEHAVIORAL CONSULTING, INC.
Clinic/Center
1800 TOWN CENTER DR STE 420
RESTON, VA 20190
Fairfax County (240) 303-2141
DC PSYCHIATRY LLC
Psychiatry & Neurology (Psychiatry)
1800 TOWN CENTER DR STE 420
RESTON, VA 20190
Fairfax County (703) 869-5361
DR. AUDREY M RUSHIN M.D.
Psychiatry & Neurology (Psychiatry)
1800 TOWN CENTER DR STE 420
RESTON, VA 20190
Fairfax County (703) 554-5635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornita Mental Health Services, LLC's NPI number?

The NPI number for Cornita Mental Health Services, LLC is 1134524580. It was assigned to this organization in the NPPES registry on October 28, 2014. The provider is doing business as Cordelia Nieketien-Tawari.

Where is Cornita Mental Health Services, LLC located?

Cornita Mental Health Services, LLC is located at 1800 Town Center Dr Ste 420, Reston, VA 20190. The listed phone number is (703) 869-5361.

What is Cornita Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Cornita Mental Health Services, LLC was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.