Active NPI
Candice Evans, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
National Provider Identifier
1164664231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN36069
- Practice address
- 4201 Connecticut Ave NW
Suite 300
Washington, DC 20008-1158 - Phone
- (202) 204-5018
- Fax
- (202) 624-0062
- NPI assigned
- Apr 3, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN36069 | DC | Primary |
Addresses
Primary practice location
4201 Connecticut Ave NW
Suite 300
Washington, DC 20008-1158
Mailing address
3800 Underwood St
Chevy Chase, MD 20815-4174
Phone (301) 907-4883
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN36069 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1164664231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 UNDERWOOD ST",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154174",
"telephone_number": "301-907-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CONNECTICUT AVE NW",
"address_2": "SUITE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081158",
"telephone_number": "202-204-5018",
"fax_number": "202-624-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CANDICE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-03",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "RN36069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.