Individual provider Active NPI

Jara Freeman Evans, CRNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1326591033
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN299167 Issued in GA
Practice address
531 Broadway E # 10
Seattle, WA 98102-5023
Phone
(503) 684-8252
NPI assigned
Jul 28, 2016
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-139285 AL
Nurse Practitioner 363L00000X RN299167 GA Primary

Addresses

Primary practice location

531 Broadway E # 10
Seattle, WA 98102-5023

Mailing address

44 Krog St NE Unit 701
Atlanta, GA 30307-2658
Phone (205) 441-0176

Other practice location 1

100 Pilot Medical Dr
Suite 300
Birmingham, AL 35235-3411
Phone (205) 856-2284 ext. 226

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN299167GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC PastSince Feb 7, 2021 Accepting new patients
Zoomcare PC PastSince Feb 7, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1326591033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KROG ST NE UNIT 701",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072658",
            "telephone_number": "205-441-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 BROADWAY E # 10",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025023",
            "telephone_number": "503-684-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pilot Medical Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353411",
            "country_code": "US",
            "telephone_number": "205-856-2284 x226",
            "fax_number": "205-815-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JARA",
        "middle_name": "FREEMAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-139285",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN299167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.