Kelsey Claire Evans, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

672260 Issued in NY

Practice address

1650 Champlin Ave
New Hartford, NY 13413-1069

Phone

(315) 624-8900

NPI assigned

May 20, 2019

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

Other names 1

• Kelsey Pereto Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1043877632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 STOKES WESTERNVILLE RD",
            "city": "WESTERNVILLE",
            "state": "NY",
            "postal_code": "134862353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CHAMPLIN AVE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131069",
            "telephone_number": "315-624-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KELSEY",
        "middle_name": "CLAIRE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "672260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "PERETO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michele Enos
• Eric B Yoss, MD
• Raymond Ermacor, DC
• Daniel Ernst, OT
• Kara R Evans, PT
• Victoria Evolo
• Eye Q of Cny LLC
• Kaylee Brianna Faherty, COTA
• Falcon Group International Corp
• Marissa Falin

• Home Health Registered Nurse in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.