Active NPI
Evelyn Exevea, ACNP-BC
- Acute Care Nurse Practitioner
- Glendale, CA
National Provider Identifier
1235546318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 22393
- Practice address
- 1420 S Central Ave
Glendale, CA 91204-2508 - Phone
- (818) 502-2258
- NPI assigned
- Jul 21, 2014
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 22393 | CA | Primary |
Addresses
Primary practice location
1420 S Central Ave
Glendale, CA 91204-2508
Mailing address
PO Box 50690
Los Angeles, CA 90050-0690
Phone (661) 755-2972
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 |
|---|---|---|---|
| 22393 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1235546318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50690",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900500690",
"telephone_number": "661-755-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042508",
"telephone_number": "818-502-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXEVEA",
"first_name": "EVELYN",
"credential": "ACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "22393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
- Excellent Choice Home Health, Inc.
- Excellent Choice Hospice Inc.
- Exclusive Care Non-Emergency Medical Transportation LLC
- Exclusive Choice Home Healthcare Inc.
- Exclusive Hospice Inc
- Express Care Pharmacy Inc.
- Exprest Inc
- Exquisite Touch Hospice
- Extraordinary You/Dr. Agnes Oh
- Eye Care Center Ani Halabi OD Doctor of Optometry PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.