Active NPI
Lambert Harold Everson, CNA
- Nurse's Aide
- Holly Hill, FL
National Provider Identifier
1184935801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA 217770
- Practice address
- 1144 13TH St
Holly Hill, FL 32117-1902 - Phone
- (386) 682-5798
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA 217770 | FL | Primary |
Addresses
Primary practice location
1144 13TH St
Holly Hill, FL 32117-1902
Mailing address
1144 13TH St
Holly Hill, FL 32117-1902
Phone (386) 682-5798
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 |
|---|---|---|---|
| CNA 217770 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1184935801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 13TH ST",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "321171902",
"telephone_number": "386-682-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 13TH ST",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "321171902",
"telephone_number": "386-682-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSON",
"first_name": "LAMBERT",
"middle_name": "HAROLD",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-28",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA 217770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Hill, FL
- Brandi Lee Driggers
- Durden Consulting Services of Florida
- Michael Scott Edwards
- Elderly Living Center of Holly Hill, Inc
- Emergency Medical Foundation Inc
- Faithful Caregivers,LLC
- Family Medical Practice Management, Inc.
- John Nicholas Fedorovich, R.PH.
- Christina Fendelander, RPH
- Cynthia Stephens Fisher, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.