Jade Evans, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311544-1 Issued in NY

Practice address

4 Jefferson PLZ
Poughkeepsie, NY 12601-4035

Phone

(845) 473-5900

Fax

(845) 473-6692

NPI assigned

Jan 29, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1306184189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JEFFERSON PLZ",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014035",
            "telephone_number": "845-473-5900",
            "fax_number": "845-473-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JEFFERSON PLZ",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014035",
            "telephone_number": "845-473-5900",
            "fax_number": "845-473-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JADE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311544-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shira Etshalom, NP-C
• Britney Ann Ettinger
• Leigh Mark Ettinger, MD, MS
• Bartley J Ettori, LCSW
• Ann Lorraine Evans, RN
• Amanda Ewanciw, MHC
• Eye Sparkle Optical Corporation
• Winter Ruth Eyres, M.S. CCC-SLP
• Edgardo Fabery Zeno, CRNA
• Kasie Fabiano, LPN

• All providers in Poughkeepsie, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.