Anne Marie Evans, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1907 Issued in WI

Practice address

1 University PLZ
Platteville, WI 53818-3001

Phone

(708) 601-7807

NPI assigned

Dec 5, 2016

Sex

Female

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

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1124562590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 S MAJOR AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632415",
            "telephone_number": "708-601-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183001",
            "telephone_number": "708-601-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Leah Duve, LPN
• Kyle Dwyer, MAT, LAT, ATC
• Wendy Lynn Eames, LPC
• Joshua Eastlick, LPC
• Roger L. Elver, D.D.S.
• Kaitlyn Evenstad
• David Jonathan Eversoll, RN REGISTERED NURSE
• Brianne Farrey, APNP, PMHNP-BC
• Fasd Communitties Dba Aloha Community Platteville LLC
• Ekaterina Fedorova, MD

• All providers in Platteville, WI
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.