John M. Evans, FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

285993 Issued in CA

Practice address

480 1St Ave
Portola, CA 96122-9405

Phone

(530) 832-6600

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1083884266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229405",
            "telephone_number": "530-284-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229405",
            "telephone_number": "530-832-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOHN",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "285993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Plumas Health Care District (Eastern Plumas Health Care)
• Eastern Plumas Health Care District (Eastern Plumas Health Care)
• Eastern Plumas Health Care District (Eastern Plumas Health Care)
• Eastern Plumas Health Care Home Health
• Amanda Anne Engel
• Patricia Foley
• Mario G. Garibotti, DDS
• Richard Gepford, PT
• Jeanne M. Harper, OTR/L, CHT
• Derry L. Hildebrand Jr., D.D.S.

• Registered Nurse in Portola, CA
• Providers in Portola, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.