Dallas Lamar Evans, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9175957 Issued in FL

Practice address

6550 N Wickham Rd
Suite 2
Melbourne, FL 32940-2038

Phone

(321) 751-9506

Fax

(321) 751-9505

NPI assigned

Nov 16, 2011

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Optimum CV PLLC

  • Cardiovascular Disease Physician
  • Orlando, FL
  • NPI 1720863392
  Medicare reassignment NPD
• Docvisits, LLC

  • Transplant Hepatology Physician
  • Jacksonville, FL
  • NPI 1144822628

  Adult Health

  NPD Authorized official

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1083981260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 RHODE ISLAND DRIVE WEST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091436",
            "telephone_number": "904-380-0346",
            "fax_number": "904-768-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N WICKHAM RD",
            "address_2": "SUITE 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402038",
            "telephone_number": "321-751-9506",
            "fax_number": "321-751-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DALLAS",
        "middle_name": "LAMAR",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9175957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethos Health Melbourne LLC
• Lacey Eubank
• Marileen Eubanks
• Stephanie Evanoff, PHARMD, RPH
• Brooke A Evans, DNP-FNP
• Kathleen Evans
• Michelle Lee Evans
• Paul Evans, PHD
• Tanya N Evans, FNP-BC
• William Brandon Evans, FNP

• Adult Health Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.