Individual provider Active NPI

Beth Ann Evans, D.C.

  • Chiropractor
  • Wylie, TX
National Provider Identifier
1114181229
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10929 Issued in TX
Practice address
114 S Jackson Ave
Suite 200
Wylie, TX 75098-3938
Phone
(972) 429-4677
NPI assigned
Jul 17, 2008
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10929 TX Primary

Addresses

Primary practice location

114 S Jackson Ave
Suite 200
Wylie, TX 75098-3938

Mailing address

617 County Road 5060
Leonard, TX 75452-3905
Phone (214) 771-2942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120510000586 TX Practitioner - Chiropractic 8224290101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Life Family Medicine, P.a.Group PAC ID 9335373372, 6 clinicians

Practice addresses (Care Compare)

11 Medical Dr
Amarillo, TX 79106-4137
Phone (806) 355-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Family Medicine, P.a. CurrentSince Feb 9, 2022 Accepting new patients
Divine Spine Wellness Clinic Chiropractor Past Accepting new patients

Locations

11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400

1926 Civic Cir
Amarillo, TX 79109
Phone (806) 355-9355

7 Medical Dr
Amarillo, TX 79106
Phone (806) 358-3595

Interoperability endpoints

  • Direct secure messaging: beth.evans@292210469699588.direct.elationemr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1114181229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 COUNTY ROAD 5060",
            "city": "LEONARD",
            "state": "TX",
            "postal_code": "754523905",
            "telephone_number": "214-771-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S JACKSON AVE",
            "address_2": "SUITE 200",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983938",
            "telephone_number": "972-429-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.