Evan Klees, R EEG T.

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

7039 Issued in PA

Practice address

1237 E Dust Devil Dr
San Tan Valley, AZ 85143-4287

Phone

(157) 085-4979

NPI assigned

May 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: evank@az-iom.com

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.

• Arizona Iom LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Gilbert, AZ
  • NPI 1831577139
  NPD (past)

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306402771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 E DUST DEVIL DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434287",
            "telephone_number": "570-854-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 E DUST DEVIL DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434287",
            "telephone_number": "157-085-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEES",
        "first_name": "EVAN",
        "credential": "R EEG T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-11",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "PA",
            "license": "7039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Evank@az-iom.com",
            "affiliation": "Y",
            "affiliationName": "Arizona IOM LLC",
            "address_1": "2301 West Sanoque Court",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keys to Success, LLC
• Diana N Kibuuka
• Samantha Kilbourne
• Molly King
• Kimberly Kisner, COTA/L
• Cynthia Kober, PHARMD
• Jennifer Koger, MS, BCBA, LBA
• Cassandra Korth, CNM
• Alyssa Noel Lemere Kowalchuk
• Lauren Elaine Kuehn, RN

• Technician/Technologist in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Technician/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.