Sandra S Evans

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

7606657 Issued in OH

Practice address

5022 Clardell Ave SW
Canton, OH 44706-4351

Phone

(330) 309-8134

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1003410069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 CLARDELL AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447064351",
            "telephone_number": "330-309-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 CLARDELL AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447064351",
            "telephone_number": "330-309-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SANDRA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "7606657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Evans, RN
• Lanique Leeann Evans
• Mahlee Evans, LPC
• Mallory Evans
• Margaret B Evans, LISW
• Adriane Everett
• Asia Annette Everett
• Chrystal Everett
• Derrick Everett
• Isiaha Everette

• Developmentally Disabled Services Day Training Agency in Canton, OH
• Providers in Canton, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.