Active NPI
Samantha Evanko
- Student in an Organized Health Care Education/Training Program
- Perry Point, MD
National Provider Identifier
1164659744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Avenue H-Building 25
Perry Point VA Medical Center
Perry Point, MD 21902 - Phone
- (800) 949-1003
- Fax
- (410) 642-1118
- NPI assigned
- Jun 22, 2009
- Last updated
- Jun 22, 2009
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
Avenue H-Building 25
Perry Point VA Medical Center
Perry Point, MD 21902
Mailing address
33 N Whitfield St
Nazareth, PA 18064-1537
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": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1164659744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 N WHITFIELD ST",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180641537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENUE H-BUILDING 25",
"address_2": "PERRY POINT VA MEDICAL CENTER",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "21902",
"telephone_number": "800-949-1003",
"fax_number": "410-642-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANKO",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Point, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.