Active NPI
Pamela S, Evans, RD LD
- Registered Dietitian
- Warren, OH
National Provider Identifier
1033744966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 237
- Practice address
- 1350 E Market St
Warren, OH 44483-6608 - Phone
- (330) 841-9850
- Fax
- (330) 841-9384
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 237 | OH | Primary |
Addresses
Primary practice location
1350 E Market St
Warren, OH 44483-6608
Mailing address
1350 E Market St
Warren, OH 44483-6608
Phone (330) 841-9850
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 |
|---|---|---|---|
| 237 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1033744966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836608",
"telephone_number": "330-841-9850",
"fax_number": "330-841-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836608",
"telephone_number": "330-841-9850",
"fax_number": "330-841-9384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "PAMELA",
"middle_name": "S,",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.