Active NPI
Evelean Davis Woodard
- Contractor
- Manson, NC
National Provider Identifier
1003150616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MHL-093-040
- Practice address
- 112 Akins LN
Manson, NC 27553-9124 - Phone
- (252) 456-2128
- NPI assigned
- Nov 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MHL-093-040 | NC | Primary |
Addresses
Primary practice location
112 Akins LN
Manson, NC 27553-9124
Mailing address
112 Akins LN
Manson, NC 27553-9124
Phone (252) 456-2128
Other names 1
- Mrs. Evelean Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHL-093-040 | NC | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1003150616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 AKINS LN",
"city": "MANSON",
"state": "NC",
"postal_code": "275539124",
"telephone_number": "252-456-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 AKINS LN",
"city": "MANSON",
"state": "NC",
"postal_code": "275539124",
"telephone_number": "252-456-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "EVELEAN",
"middle_name": "DAVIS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NC",
"license": "MHL-093-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EVELEAN",
"last_name": "DAVIS",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.