Criston B Evans, CDCA

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

156080 Issued in OH

Practice address

14532 US Highway 23
Waverly, OH 45690

Phone

(740) 285-9624

NPI assigned

Dec 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1205342136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 SWAUGER VALLEY RD",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456628898",
            "telephone_number": "740-285-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14532 US HIGHWAY 23",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-285-9624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14532 US Highway 23",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "45690",
            "country_code": "US",
            "telephone_number": "740-285-9624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14532 US Highway 23",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "45690",
            "country_code": "US",
            "telephone_number": "740-285-9624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CRISTON",
        "middle_name": "B",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.169327",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "156080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Ellinger
• Amanda Elliott, R.M.A., C.T.T.S
• Jennifer Elliott
• Aaron Engle
• Shelly Entler
• Dale Scott Evans
• Gwendolyn Lea Evans
• Michelle Evans
• Rebekah Evans
• Sarah Evans

• Licensed Practical Nurse in Waverly, OH
• Providers in Waverly, 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 Sep 19, 2019; 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.