Leah Evans, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

A003320 Issued in AR

Practice address

112 W Center St Ste 200
Fayetteville, AR 72701-6073

Phone

(501) 661-0720

Fax

(501) 325-7938

NPI assigned

Aug 6, 2009

Last updated

Jul 12, 2021By 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 2

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1043441173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W CLEBURN ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011916",
            "telephone_number": "501-952-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W CENTER ST STE 200",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016073",
            "telephone_number": "501-661-0720",
            "fax_number": "501-325-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LEAH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003320",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R73494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Estes, MD
• Ethos Psychotherapy and Wellness LLC
• Lisa Eubanks
• Brandon Evans, MD
• Julieah Danielle Evans
• Sarah J Evans, OTRL
• Tierra Evans
• Bridget Elizabeth Everett, DO
• Jennifer Everhart
• Everydaymatters, LLC

• Psychiatric/Mental Health Nurse Practitioner in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.