Individual provider Active NPI

Melissa Evans, RN,ADN

  • Home Health Registered Nurse
  • Princeton, WV
National Provider Identifier
1124892922
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
116616 Issued in WV
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.

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

LicenseStateTypeSpecialty
116616WVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stonerise Reliable Healthcare LLC PastSince Nov 19, 2023 Accepting new patients
Stonerise Reliable Healthcare LLC PastSince Nov 19, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 116616 WV Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.