Individual provider Active NPI

Evelyn B May, FNP

  • Nurse Practitioner
  • Snohomish, WA
National Provider Identifier
1265455372
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60834499 Issued in WA
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

Updated by the provider on Nov 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP1958MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619001562 SC Practitioner - Nurse Practitioner 4183758741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60834499WAMDNurse Practitioner
201801215NP-PPORMDFamily Nurse Practitioner
APNF1189SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician'S Pain and Spine Center, LLC PastSince Jul 9, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.