Active NPI
Evallynn Korinn Saber
- Personal Care Attendant
- Medford, MN
National Provider Identifier
1144535345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 202 3Rd Ave SE Apt 1
Medford, MN 55049-5603 - Phone
- (952) 457-9288
- NPI assigned
- Aug 11, 2010
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
202 3Rd Ave SE Apt 1
Medford, MN 55049-5603
Mailing address
PO Box 392
Faribault, MN 55021-0392
Phone (952) 457-9288
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1144535345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550210392",
"telephone_number": "952-457-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 3RD AVE SE APT 1",
"city": "MEDFORD",
"state": "MN",
"postal_code": "550495603",
"telephone_number": "952-457-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABER",
"first_name": "EVALLYNN",
"middle_name": "KORINN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.