Individual provider Active NPI

Amber Kay Evans, NP-C

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1306364716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22830 Issued in TN
Practice address
259 Courtland Crest Dr SW
Cleveland, TN 37311-6790
Phone
(423) 716-4310
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22830 TN Primary

Addresses

Primary practice location

259 Courtland Crest Dr SW
Cleveland, TN 37311-6790

Mailing address

259 Courtland Crest Dr SW
Cleveland, TN 37311-6790
Phone (423) 716-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116003230 TN Practitioner - Nurse Practitioner 6002172426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palliative Care Services, PLLCGroup PAC ID 1052588977, 19 clinicians

Practice addresses (Care Compare)

2030 Hamilton Place Blvd
Suite 220
Chattanooga, TN 37421-6040
Phone (423) 892-4289

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Services, PLLC CurrentSince Mar 6, 2023 Accepting new patients

Locations

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

2030 Hamilton Place Blvd
Ste 220
Chattanooga, TN 37421
Phone (423) 553-1823

2051 Hamill Rd
Ste 301
Hixson, TN 37343
Phone (423) 870-3376

500 Faulconer Dr
Ste 200
Charlottesville, VA 22903
Phone (434) 977-9711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306364716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 COURTLAND CREST DR SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116790",
            "telephone_number": "423-716-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 COURTLAND CREST DR SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116790",
            "telephone_number": "423-716-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMBER",
        "middle_name": "KAY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.