Gage Warren Evans

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-2024-0090 Issued in NM

Practice address

10401 Research Rd SE
Albuquerque, NM 87123-3423

Phone

(575) 347-8322

NPI assigned

May 28, 2024

Sex

Male

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

State licenses

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1083454003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 BOONE ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092708",
            "telephone_number": "575-347-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 RESEARCH RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233423",
            "telephone_number": "575-347-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "GAGE",
        "middle_name": "WARREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OT-2024-0090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyd Evans, P.T.
• Daniel Adrian Evans, M.D.
• David Evans
• Destiny Evans
• Elizabeth Marie C Evans, ADULT NP
• Janice E. Evans, M.D.
• Jillian Evans, LMHC, ATR-BC
• Kyus Evans
• Ladonna Evans
• Leigh Evans

• Occupational Therapy Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.