Active NPI
Laurie S. Evans, M.D.
- Surgery Physician
- Pasco, WA
National Provider Identifier
1255499398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00032005
- Practice address
- 7425 Wrigley Dr.
Ste 204
Pasco, WA 99301-5292 - Phone
- (509) 547-0027
- Fax
- (509) 546-8386
- NPI assigned
- Dec 4, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00032005 | WA | Primary |
Addresses
Primary practice location
7425 Wrigley Dr.
Ste 204
Pasco, WA 99301-5292
Mailing address
Ste 2047425 Wrigley Dr. Ste 204
7426 Wrigley Dr. Ste 204
Pasco, WA 99301-5292
Phone (509) 547-0027
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100528 | Medicaid | WA | |
| P524103 | Medicaid | ID | |
| WAE319 | Other | WA | QUALMED |
| 020029975 | Other | MCR RR | |
| EV2999 | Other | WA | REGENCY |
| 52019 | Other | WA | LABOR AND INDUSTRIES |
| 207464 | Other | OR | OREGON WELFARE |
| 52019 | Other | L AND I |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032005 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Hospital LLC | Current | Accepting new patients |
Locations
7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027
Interoperability endpoints
- levans@direct.lmc.md
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1255499398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STE 2047425 WRIGLEY DR. STE 204",
"address_2": "7426 WRIGLEY DR. STE 204",
"city": "PASCO",
"state": "WA",
"postal_code": "993015292",
"telephone_number": "509-547-0027",
"fax_number": "509-546-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 WRIGLEY DR.",
"address_2": "STE 204",
"city": "PASCO",
"state": "WA",
"postal_code": "993015292",
"telephone_number": "509-547-0027",
"fax_number": "509-546-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LAURIE",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00032005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1100528",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P524103",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALMED",
"identifier": "WAE319",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RR",
"identifier": "020029975",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCY",
"identifier": "EV2999",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "52019",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON WELFARE",
"identifier": "207464",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I",
"identifier": "52019",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.