Active NPI
Laura Evans
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1287
- Practice address
- 1455 NW Irving St Ste 600
Portland, OR 97209-2277 - Phone
- (844) 966-6463
- NPI assigned
- Apr 12, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201350043NP | OR | |
| Family Nurse Practitioner | 363LF0000X | 1287 | AK | Primary |
Addresses
Primary practice location
1455 NW Irving St Ste 600
Portland, OR 97209-2277
Mailing address
1389 Huffman Road
#150
Anchorage, AK 99515
Phone (888) 227-3312
Other practice location 1
1867 Airport Way Ste 130B
Fairbanks, AK 99701-4056
Phone (907) 452-2178
Other practice location 2
1389 Huffman Road
#150
Anchorage, AK 99515
Phone (888) 227-3312
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | levans1164240@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
218 W 34TH Ave
Anchorage, AK 99503-3977
Phone (907) 290-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1287 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Health Center LLC | Current | Accepting new patients | |
| Arctic Medical Center | Current | Accepting new patients |
Locations
3330 Eagle St
Anchorage, AK 99503
Phone (907) 501-2330
218 W 34th Ave
Anchorage, AK 99503
Phone (907) 290-5500
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Anchorage, AK
- NPI 1962040006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1245597459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 HUFFMAN ROAD",
"address_2": "#150",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "888-227-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 NW IRVING ST STE 600",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092277",
"telephone_number": "844-966-6463"
}
],
"practiceLocations": [
{
"address_1": "1867 Airport Way Ste 130B",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997014056",
"country_code": "US",
"telephone_number": "907-452-2178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1389 Huffman Road",
"address_2": "#150",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "99515",
"country_code": "US",
"telephone_number": "888-227-3312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201350043NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "1287",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "levans1164240@ak.providencedirect.org",
"affiliation": "N",
"address_1": "1389 Huffman Road",
"address_2": "#150",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "99515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.