Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evelyn Butsome Sallah-Koomson, APRNFNP-C

Individual provider Family Medicine Physician · NPI 1245053966

Evelyn Butsome Sallah-Koomson, APRNFNP-C is a Nurse Practitioner in Herndon, Virginia. Qualified in 2024, 2 years ago. Practices with Northstar Health Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

106 Elden St Ste 18B
Herndon, VA 20170-4826
Phone: (703) 723-9100
Fax: (703) 723-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0024191662 (VA)

Record details

NPI number1245053966
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials APRNFNP-C
Sole proprietorYes
NPI enumeratedNovember 1, 2024
Last updated in NPPESNovember 1, 2024
Certification dateOctober 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northstar Health Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Herndon