Active NPI
Donna Carol Everly, MAE, DI
- Developmental Therapist
- Bowling Green, KY
National Provider Identifier
1306052873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 200180931
- Practice address
- 380 Suwannee Trail St
Bowling Green, KY 42103-7956 - Phone
- (270) 901-5749
- Fax
- (270) 746-0729
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 200180931 | KY | Primary |
Addresses
Primary practice location
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Mailing address
380 Suwannee Trail Street
Bowling Green, Ky
Bowling Green, KY 42103-7956
Phone (270) 901-5749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01526 | Other | KY | FIRST STEPS PROVIDER NUMB |
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 |
|---|---|---|---|
| 200180931 | KY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306052873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SUWANNEE TRAIL STREET",
"address_2": "BOWLING GREEN, KY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037956",
"telephone_number": "270-901-5749",
"fax_number": "270-746-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 SUWANNEE TRAIL ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037956",
"telephone_number": "270-901-5749",
"fax_number": "270-746-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERLY",
"first_name": "DONNA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "MAE, DI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "KY",
"license": "200180931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST STEPS PROVIDER NUMB",
"identifier": "01526",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
- Donald Evans, LCSW
- Jeremy Michael Evans, M.S. BCBA, LBA
- Keana Denise Evans, RBT
- Keenah Evans, KCSA
- Evergreen Presbyterian Ministries, Inc. (Evergreen East Kentucky Services)
- Emma G Evers, RBT
- Evolving Lives LLC
- Extendicare Homes, Inc. (Medco Center of Bowling Green)
- Manuel A Fadul Noy
- Fairview Chiropractic Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.