Active NPI
Brett A Evans
- Specialist
- Prairieville, LA
National Provider Identifier
1285812248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- LA3347
- Practice address
- 38390 Highway 42 Ste a
Prairieville, LA 70769-4011 - Phone
- (225) 313-6996
- Fax
- (225) 313-6989
- NPI assigned
- Feb 1, 2008
- Last updated
- Feb 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | LA3347 | LA | Primary |
Addresses
Primary practice location
38390 Highway 42 Ste a
Prairieville, LA 70769-4011
Mailing address
38390 Highway 42 Ste a
Prairieville, LA 70769-4011
Phone (225) 313-6996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA3347 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1285812248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38390 HIGHWAY 42 STE A",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694011",
"telephone_number": "225-313-6996",
"fax_number": "225-313-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38390 HIGHWAY 42 STE A",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694011",
"telephone_number": "225-313-6996",
"fax_number": "225-313-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "BRETT",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "LA3347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.