Active NPI
Evelyn B May, FNP
- Nurse Practitioner
- Snohomish, WA
National Provider Identifier
1265455372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60834499
- Practice address
- 401 2ND St
Snohomish, WA 98290 - Phone
- (360) 563-8600
- Fax
- (360) 568-0103
- NPI assigned
- Jul 26, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1189 | SC | |
| Family Nurse Practitioner | 363LF0000X | APNF1189 | SC | |
| Family Nurse Practitioner | 363LF0000X | 201801215NP-PP | OR | |
| Nurse Practitioner | 363L00000X | AP60834499 | WA | Primary |
Addresses
Primary practice location
401 2ND St
Snohomish, WA 98290
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (360) 563-8600
Other practice location 1
1010 SW Coast Hwy Ste 203
Newport, OR 97365-5215
Phone (541) 265-4947
Other practice location 2
1010 SW Coast Hwy Ste 203
Newport, OR 97365-5215
Phone (541) 265-4947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1958 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150619001562 | SC | Practitioner - Nurse Practitioner | 4183758741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60834499 | WA | MD | Nurse Practitioner |
| 201801215NP-PP | OR | MD | Family Nurse Practitioner |
| APNF1189 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician'S Pain and Spine Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- evelyn.may.p1@direct.scdc.nextgenshare.com
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.
-
- Interventional Pain Medicine Physician
- West Coumbia, SC
- NPI 1336475573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1265455372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "360-563-8600",
"fax_number": "360-568-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 2ND ST",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "98290",
"telephone_number": "360-563-8600",
"fax_number": "360-568-0103"
}
],
"practiceLocations": [
{
"address_1": "1010 SW Coast Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973655215",
"country_code": "US",
"telephone_number": "541-265-4947",
"fax_number": "541-574-7670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 SW Coast Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973655215",
"country_code": "US",
"telephone_number": "541-265-4947",
"fax_number": "541-574-7670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAY",
"first_name": "EVELYN",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "1189",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APNF1189",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201801215NP-PP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60834499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1958",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.