Evangeline Page-Harris

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

293229-1 Issued in NY

Practice address

485 Saint Pauls Ave
Staten Island, NY 10304-2101

Phone

(718) 876-5578

NPI assigned

Apr 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Evangeline Page Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1124344098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 SAINT PAULS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042101",
            "telephone_number": "718-876-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 SAINT PAULS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042101",
            "telephone_number": "718-876-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE-HARRIS",
        "first_name": "EVANGELINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "293229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVANGELINE",
            "last_name": "PAGE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Padovano, CASAC
• Kenneth Padron, LCSW
• Annette Pagan, R.PH.
• Laura Anne Pagan, L.C.S.W.
• Amanda Pagano
• Michael Joseph Pagnotta, M.S.
• Pagoda Medical PC
• Pooja Pahilajani
• Samantha Paholek
• Murlidhar Pahuja, MD

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.