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

Ivy Dzifa Dzivenu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215741301

Ivy Dzifa Dzivenu is a Nurse Practitioner in Alexandria, Virginia. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in District of Columbia and Virginia.

Years since qualifying
2
Licensed in
DC, VA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3301 Richmond Hwy # 1360
Alexandria, VA 22305-3044
Phone: (571) 275-5935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 712 H St Ne Ste 1379, Washington, DC 20002-3627 — (571) 275-5935

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024192399 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NP500125648 (DC)

Record details

NPI number1215741301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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