NPIMap

Organization Active NPI

Jeanette Evans, Inc.

  • Community/Behavioral Health Agency
  • Wailuku, HI
National Provider Identifier
1316290489
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
501 Issued in HI
Legal business name
JEANETTE EVANS, INC.
Practice address
55 N Church St
Suite #2
Wailuku, HI 96793-1682
Phone
(808) 244-6881
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Ms. Jeanette Christine Evans, DCSW, LCSWNPI 1215089388
Title
President
Phone
(808) 244-6881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 501 HI Primary

Addresses

Primary practice location

55 N Church St
Suite #2
Wailuku, HI 96793-1682

Mailing address

3095 Kekaulike Ave
Kula, HI 96790-8483
Phone (808) 244-6881

National Provider Directory

National Provider Directory

Locations

55 N Church St
Ste 2
Wailuku, HI 96793
Phone (808) 244-6881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1316290489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 KEKAULIKE AVE",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908483",
            "telephone_number": "808-244-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N CHURCH ST",
            "address_2": "SUITE #2",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931682",
            "telephone_number": "808-244-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE EVANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-244-6881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DCSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.