Mary Ann Evans, RN4

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN066385 Issued in LA

Practice address

1035 Creswell Ave
Shreveport, LA 71101-3917

Phone

(318) 676-5286

Fax

(318) 676-5221

NPI assigned

Jun 18, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1003179888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 CORRINE PL",
            "city": "WASKOM",
            "state": "TX",
            "postal_code": "756925008",
            "telephone_number": "903-687-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 CRESWELL AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013917",
            "telephone_number": "318-676-5286",
            "fax_number": "318-676-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN4",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN066385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camri Dishaun Evans
• Cristina Evans, APRN, PMHNP-BC
• John Michael Evans, M.D.
• Kadavion Evans
• Lawenica Evans
• Michael Stuart Evans, NP
• Miranda Nashay Evans
• Rickey Evans
• Rickiesha Ambreyana Evans, PMHNP-BC
• Shakeidra Evans

• Community Health Registered Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community Health Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.