Active NPI
Amber Kay Lynn Evans
- Case Management Agency
- Buena Park, CA
National Provider Identifier
1205501012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 8233 Maple Dr Ste 3
Buena Park, CA 90620-3337 - Phone
- (901) 370-9442
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
8233 Maple Dr Ste 3
Buena Park, CA 90620-3337
Mailing address
2928 W Academy Ave
Anaheim, CA 92804-2039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6546 | Other | 6546 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | stepup.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1205501012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2928 W ACADEMY AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8233 MAPLE DR STE 3",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203337",
"telephone_number": "901-370-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "AMBER",
"middle_name": "KAY LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "6546",
"identifier": "6546",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "stepup.org",
"affiliation": "N",
"endpointDescription": "stepup.org",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2928 W Academy Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928042039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.