Individual provider Active NPI

Evadne Sang, MD

  • Psychiatry Physician
  • Christiansled, VI
National Provider Identifier
1265650048
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1761 Issued in VI
Practice address
4007 Est. Diamond Ruby
Christiansled, VI 00820
Phone
(340) 778-6311
NPI assigned
Apr 24, 2007
Last updated
Jan 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1761 VI Primary
Independent Medical Examiner Physician 202C00000X 0101029185 VA
Independent Medical Examiner Physician 202C00000X 1761 VI

Addresses

Primary practice location

4007 Est. Diamond Ruby
Christiansled, VI 00820

Mailing address

PO Box 8619
Christiansted, VI 00823-8619
Phone (340) 778-6311

Other practice location 1

3733 University Blvd W Ste 202
Jacksonville, FL 32217-2152
Phone (904) 755-6623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131030001041 VI Practitioner - Psychiatry 9739314683 Practice locations: Christiansted, VI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101029185VAMDIndependent Medical Examiner Physician

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1265650048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8619",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008238619",
            "telephone_number": "340-778-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 EST. DIAMOND RUBY",
            "city": "CHRISTIANSLED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-778-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3733 University Blvd W Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172152",
            "country_code": "US",
            "telephone_number": "904-755-6623",
            "fax_number": "888-402-9512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANG",
        "first_name": "EVADNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VI",
            "license": "1761",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "VA",
            "license": "0101029185",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "VI",
            "license": "1761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.