Individual provider Active NPI

Caress Evans

  • School Registered Nurse
  • Buffalo, NY
National Provider Identifier
1124660360
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
717815 Issued in NY
Practice address
1500 Elmwood Ave
Buffalo, NY 14207-3004
Phone
(716) 816-4480
Fax
(716) 871-6086
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 717815 NY Primary

Addresses

Primary practice location

1500 Elmwood Ave
Buffalo, NY 14207-3004

Mailing address

95 Lyndale Ave
Buffalo, NY 14223-3023

Other practice location 1

95 Lyndale Ave
Buffalo, NY 14223-3023
Phone (716) 935-7584

Other identifiers 1

IdentifierTypeStateIssuer
717815MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cevans@shccares.com

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

LicenseStateTypeSpecialty
717815NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1124660360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LYNDALE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142233023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142073004",
            "telephone_number": "716-816-4480",
            "fax_number": "716-871-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Lyndale Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142233023",
            "country_code": "US",
            "telephone_number": "716-935-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CARESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "717815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717815",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cevans@shccares.com",
            "affiliation": "N",
            "address_1": "1500 Elmwood Ave",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142073004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.