Evansie Joseph
Individual provider Active NPI Certified Registered Nurse Anesthetist · Raleigh, NC
NPI 1013252014 · NPPES record last updated Feb 10, 2013
Key facts
- NPI
- 1013252014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 258608 (NC)
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-8000
- NPI assigned
- Dec 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9247222 | FL | MD | Registered Nurse |
| 258608 | NC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 258608 | NC | Yes |
| Registered Nurse | 163W00000X | 258608 | NC | |
| Registered Nurse | 163W00000X | 9247222 | FL |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
3216 15TH St SW
Lehigh Acres, FL 33976-2921
Phone (239) 246-2342
Other providers in Raleigh, NC
- Rebecca Jorgenson
- Josefs Pharmacy LLC
- Josefs Pharmacy LLC
- Joseph J. Leinwand
- Briana Joseph
- Finny Joseph
- Ghilene Joseph
- Kayla Joseph
- Liji Joseph
- Monet Josey
All providers in Raleigh, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.