Evelyn St Jean, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

256258 Issued in MA

Practice address

41 Maplewood Cir
Brockton, MA 02302-1934

Phone

(508) 818-1986

NPI assigned

Jan 27, 2015

Last updated

Feb 26, 2015By the provider in NPPES

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

Other names 1

• JJ Health Care Systems Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1255721445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MAPLEWOOD CIR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021934",
            "telephone_number": "508-818-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAPLEWOOD CIR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021934",
            "telephone_number": "508-818-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JEAN",
        "first_name": "EVELYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "256258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JJ",
            "last_name": "SYSTEMS",
            "middle_name": "HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharmila Srinivasan, M.D.
• Srinivas Srirangam, OD
• Joane St Hilaire
• David L St James, PHD
• Paula S St James, PHD
• Mickenson St Joy, ASSOCIATE DEGREE
• Hillary St Louis
• Johanna Cynthia St Sauveur Louis Jeune, RN
• Marco St Sauveur
• Garry W St. Cyr

• Registered Nurse in Brockton, MA
• Providers in Brockton, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.