Active NPI
Melissa Evans, RN,ADN
- Home Health Registered Nurse
- Princeton, WV
National Provider Identifier
1124892922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 116616
- Practice address
- 1908 Glenwood Park Rd
Princeton, WV 24739-7969 - Phone
- (304) 323-2300
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Princeton, WV
- NPI 1740709146
-
- Home Health Agency
- Saint Clairsville, OH
- NPI 1487172649
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116616 | WV | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonerise Reliable Healthcare LLC | Past | Accepting new patients | |
| Stonerise Reliable Healthcare LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 116616 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1908 Glenwood Park Rd
Princeton, WV 24739-7969
Mailing address
411 Bostick Ave
Beckley, WV 25801-5803
Phone (304) 860-9038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2023.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1124892922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 BOSTICK AVE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258015803",
"telephone_number": "304-860-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 GLENWOOD PARK RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247397969",
"telephone_number": "304-323-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MELISSA",
"credential": "RN,ADN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WV",
"license": "116616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.