Eva Callahan

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

169803 Issued in TX

Practice address

2951 N Park Rd
Canyon Lake, TX 78133-3551

Phone

(830) 358-3482

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

Yes

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1225518525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SIR WINSTON DR",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334614",
            "telephone_number": "830-358-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 N PARK RD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781333551",
            "telephone_number": "830-358-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "EVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "169803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brian Bumphus, PRSS
• Shawn Burch, LPC
• Danny Lopez Campos, APRN, MSN, FNP-C
• Tammy Cantu, LPC
• Canyon Lake Dental PLLC
• Canyon Lake Family Dental Care, PLLC
• Canyon Lake Fire/EMS

• Licensed Vocational Nurse in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.