Individual provider Active NPI

Nancyann Nicole Evans, LMSW

  • Social Worker
  • Durant, OK
National Provider Identifier
1316559958
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
69286 Issued in TX
Practice address
1313 N 16TH Ave
Durant, OK 74701-2134
Phone
(580) 634-2332
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 69286 TX Primary

Addresses

Primary practice location

1313 N 16TH Ave
Durant, OK 74701-2134

Mailing address

303 S FM 1417 Apt E3
Sherman, TX 75092-7709
Phone (903) 327-4574

Other practice location 1

303 S Fm 1417 Apt E3
Sherman, TX 75092-7709
Phone (903) 327-4574

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

LicenseStateTypeSpecialty
69286TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nsight for Life LLC CurrentSince Dec 29, 2023 Accepting new patients

Locations

1313 N 16th Ave
Durant, OK 74701
Phone (580) 634-2332

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1316559958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S FM 1417 APT E3",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927709",
            "telephone_number": "903-327-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012134",
            "telephone_number": "580-634-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S Fm 1417 Apt E3",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927709",
            "country_code": "US",
            "telephone_number": "903-327-4574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NANCYANN",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "69286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.