Kelli Schaar-Eviston, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3003042 Issued in KY

Practice address

5522 Taylor Mill Rd
Taylor Mill, KY 41015-4604

Phone

(859) 491-2855

Fax

(859) 655-4395

NPI assigned

Apr 28, 2006

Last updated

Sep 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Medical Group, Inc

  dba St. Elizabeth Physicians

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216

  Nurse Practitioner

  Medicare reassignment NPD
• Lifestyle Resumption Integrative Health

  • Chiropractor
  • Ft Mitchell, KY
  • NPI 1962444653
  Medicare reassignment
• Summit Medical Group, Inc.

  dba St. Elizabeth Physicians

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
  • NPI 1043188378
  NPD
• St Elizabeth Medical Center, Inc

  • Community/Retail Pharmacy
  • Florence, KY
  • NPI 1104699453
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1265499669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CHAMBER CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410171673",
            "telephone_number": "859-344-5555",
            "fax_number": "859-655-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 TAYLOR MILL RD",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410154604",
            "telephone_number": "859-491-2855",
            "fax_number": "859-655-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAR-EVISTON",
        "first_name": "KELLI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003042",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1092435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78003936",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2498980",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail M Prather
• Trinity Rammel, BCBA
• Meghan Elizabeth Reed, BCABA
• Esther Elizabeth Saalfeld, MD
• Phoebe Rae Salyers
• Sharon M Schaffield, OD
• Alyssa Mae Scheid
• Carrie Kayla Schnepel, RDN
• Mary Ann Schultz, RN
• Brandon D Smith

• Nurse Practitioner in Taylor Mill, KY
• Providers in Taylor Mill, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.

Verify at the official NPI Registry.