Alvin Evenes

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

80432CP Issued in TN

Practice address

670 Superior LN
Clarksville, TN 37043-3892

Phone

(931) 291-2451

NPI assigned

Nov 16, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jordalic Trucking LLC

  • Non-emergency Medical Transport (VAN)
  • Clarksville, TN
  • NPI 1629837521
  NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1093580334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433892",
            "telephone_number": "931-291-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433892",
            "telephone_number": "931-291-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENES",
        "first_name": "ALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "80432CP",
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "TN",
            "license": "80432CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carleigh Raquel Evans, OTD
• Connie Evans, LMT
• Erin Rose Evans
• Samantha Evans
• Sarah Turner Evans
• Christina Everett
• Evernorth Direct Health LLC
• Elisia Everson
• Sonia Evoy, RN, APRN
• Latoya Ewert

• Transportation Network Company in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Transportation Network Company in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.