Bette Ann Evenson

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

5790 Casa Grande Way
Bonita, CA 91902-2109

Phone

(442) 999-0077

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1073251104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BETTE ANN EVENSON",
            "address_2": "UNIT 1804",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116989",
            "telephone_number": "619-838-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 CASA GRANDE WAY",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022109",
            "telephone_number": "442-999-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSON",
        "first_name": "BETTE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "N2435821",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Nicole Dolland
• Monica Dolland, DC
• Michele Alaine Dumstorff, PHARM. D.
• Lilinda Cruz Enano, DMD
• Carlos Manuel Espana, DDS
• Fabriel D Burquez
• Lisa Marie Fann, B.A., M.A.
• Ashley Farwick
• Steven H Ferriot, DDS
• Katarina Fray, MA, MS, CCC-SLP

• Attendant Care Provider in Bonita, CA
• Providers in Bonita, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.