Evelyn Louise Clough, ANP, CDCII

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

668 Issued in AK

Practice address

44539 Sterling Hwy
Suite 105
Soldotna, AK 99669-7938

Phone

(907) 262-5324

Fax

(907) 260-7464

NPI assigned

Feb 13, 2006

Last updated

Jun 8, 2010By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1124092655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1015",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996691015",
            "telephone_number": "907-262-5324",
            "fax_number": "907-260-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44539 STERLING HWY",
            "address_2": "SUITE 105",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697938",
            "telephone_number": "907-262-5324",
            "fax_number": "907-260-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "EVELYN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "ANP, CDCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "1091",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Chumley
• Chiara M Ciapponi
• Uleta Clark
• Michael Sydenham Clarke, M.D.
• Lauren Elizabeth Anne Clarkson, LMT
• Lindsay Brianne Cobb, M.D.
• Corey Matthew Colella
• Krista Rae Collinson, CDCI
• Kevin Collis, RN
• Farrah Kay Collver

• Psychiatric/Mental Health Nurse Practitioner in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.