Active NPI
Sarah Evans, PHD
- Psychologist
- Lincoln, NE
National Provider Identifier
1205182987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 875
- Practice address
- 4020 Hohensee Dr
Lincoln, NE 68516-3927 - Phone
- (402) 465-5600
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2012012457 | MO | |
| Psychologist | 103T00000X | 875 | NE | Primary |
Addresses
Primary practice location
4020 Hohensee Dr
Lincoln, NE 68516-3927
Mailing address
8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600
Other practice location 1
1336 W A St Ste B
Lincoln, NE 68522-1231
Phone (402) 465-5600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025552000 | Medicaid | NE | |
| 10025552300 | Medicaid | NE | |
| 10026404400 | Medicaid | NE | |
| 10025421100 | Medicaid | NE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 875 | NE | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Children's Health, P.C. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1205182987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 NORTHWOODS DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053092",
"telephone_number": "402-465-5600",
"fax_number": "402-327-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 HOHENSEE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163927",
"telephone_number": "402-465-5600"
}
],
"practiceLocations": [
{
"address_1": "1336 W A St Ste B",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685221231",
"country_code": "US",
"telephone_number": "402-465-5600",
"fax_number": "402-327-6074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "SARAH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2012012457",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025552000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025552300",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026404400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025421100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.