Evangeline Dean, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

82037 Issued in CA

Practice address

2450 Herndon Ave Apt 203
Clovis, CA 93611-8960

Phone

(559) 904-3598

NPI assigned

May 31, 2021

Last updated

May 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Evie Dean Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1295301364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HERNDON AVE APT 203",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118960",
            "telephone_number": "559-904-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 HERNDON AVE APT 203",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118960",
            "telephone_number": "559-904-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "EVANGELINE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "82037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVIE",
            "last_name": "DEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Juan Carlos De la Cruz Mayhua
• Angelica De Leon Renteria, N.P.
• Aurelia Cynthia De Leon, MFT
• Luis Gerardo De Leon Jr.
• Larry Jess De St. Jeor, M.D.
• Dedicated Care in-Home Services, Inc.
• Laurie Catherine Dedmon, CMT, M.A.
• Justin Deffebach
• Lisa Ann Degraff, PMHNP-BC
• Dehesa Dermatology Inc

• Massage Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.