Nathaniel Spencer Evans, CNC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

1210674510 Issued in AZ

Practice address

386 W Lyle Ave
San Tan Valley, AZ 85140-6684

Phone

(801) 698-8367

NPI assigned

May 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1174260145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22304 E HERITAGE CT",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423868",
            "telephone_number": "801-698-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W LYLE AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851406684",
            "telephone_number": "801-698-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NATHANIEL",
        "middle_name": "SPENCER",
        "credential": "CNC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AZ",
            "license": "1210674510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enhanced Living Centers, LLC
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• Kaitlyn Ann Evans
• Evergreen Healthcare Treatment LLC
• Lorena Everhart, PT
• Experience Physical Therapy LLC
• Chidozie C Eze, FNP
• Lorraine D Fajardo, FNP-BC

• Health & Wellness Coach in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Health & Wellness Coach in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.