Beth Ann Evans, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

140957 Issued in OH

Practice address

63 Coleman Rd Unit C
West Portsmouth, OH 45663-3035

Phone

(740) 858-2018

NPI assigned

Jul 26, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Beth Ann Hayslip Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1164778262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 COLEMAN RD UNIT C",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456633035",
            "telephone_number": "740-858-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 COLEMAN RD UNIT C",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456633035",
            "telephone_number": "740-858-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "140957",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "2046569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HAYSLIP",
            "middle_name": "ANN",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry Elwood Dunn
• Aubrey V Dyer
• Veronica Edwards
• Jamie Eichenlaub, MSN, PMHNP-BC
• Amanda A Evans
• Michelle Evans
• Natessa Evans
• Jeannette Ferguson
• Mark Ferguson
• Rachel Fitch, CDCA

• Licensed Practical Nurse in West Portsmouth, OH
• Providers in West Portsmouth, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.