Active NPI
Brittany Evans, RBT
- Case Manager/Care Coordinator
- Liberty Center, OH
National Provider Identifier
1124608062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- U469 County Road 1D
Liberty Center, OH 43532-9598 - Phone
- (419) 693-1520
- NPI assigned
- Apr 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-164021 | OH | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
U469 County Road 1D
Liberty Center, OH 43532-9598
Mailing address
1905 Perrysburg Holland Rd
Holland, OH 43528-9582
Phone (419) 693-1520
Other practice location 1
1900 Indian Wood Cir Ste 100
Maumee, OH 43537-4039
Phone (419) 830-0078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-164021 | OH | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1124608062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 PERRYSBURG HOLLAND RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289582",
"telephone_number": "419-693-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U469 COUNTY ROAD 1D",
"city": "LIBERTY CENTER",
"state": "OH",
"postal_code": "435329598",
"telephone_number": "419-693-1520"
}
],
"practiceLocations": [
{
"address_1": "1900 Indian Wood Cir Ste 100",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435374039",
"country_code": "US",
"telephone_number": "419-830-0078",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "BRITTANY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-14",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT-21-164021",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.