Brenda T Evans, RN/NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

170344 Issued in CA

Practice address

50 Phelan Ave
San Francisco, CA 94112-1821

Phone

(415) 239-3110

Fax

(415) 239-3193

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By 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

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community College District

  • Student Health Clinic/Center
  • San Francisco, CA
  • NPI 1982739918
  NPD (past)
• San Francisco Community College District

  • Ambulatory Family Planning Facility
  • San Francisco, CA
  • NPI 1407970676
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1043494198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94122",
            "telephone_number": "415-239-3110",
            "fax_number": "415-239-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121821",
            "telephone_number": "415-239-3110",
            "fax_number": "415-239-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRENDA",
        "middle_name": "T",
        "credential": "RN/NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "170344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Evans Woodley
• Allyn Elizabeth Evans, RD, CSR
• Allyson Taylor Evans, RN
• Alyson Evans
• Andrea Evans
• Cara Sun Evans, SLP
• Carol V Evans
• Danielle Evans, LCSW
• Dante Evans
• Dariel Monique Evans

• Pediatric Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.