Active NPI
Evangelista M Mullinax, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 68743
- Practice address
- 200 Hawthorne Lane
Charlotte, NC 28204 - Phone
- (704) 384-4239
- Fax
- (704) 384-5636
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 68743 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne Lane
Charlotte, NC 28204
Mailing address
PO Box 601549
Charlotte, NC 28260-1549
Phone (704) 384-4239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN092 | Medicaid | SC | |
| 8050829 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68743 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CMC-Northeast, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Carolinas Medical Center-Northeast | Current | Accepting new patients | |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| Gateway Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
200 Hawthorne Ln
Fl 2
Charlotte, NC 28204
Phone (704) 384-4274
1800 E 4th St
Charlotte, NC 28204
Phone (704) 342-1824
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
dba Crna
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1023105905
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1548401789
Nurse Anesthetist, Certified Registered
-
dba Novant Health Presbyterian Medical Center CRNAs
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
dba Kannapolis Internal Medicine
- Internal Medicine Physician
- Kannapolis, NC
- NPI 1689620957
-
dba Atrium Health Cabarrus
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1437584653
Nurse Anesthetist, Certified Registered
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
dba Novant Health Infusion
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Clinic/Center
- Concord, NC
- NPI 1689761546
-
dba Atrium Health Cabarrus
- General Practice Physician
- Concord, NC
- NPI 1265754915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1336197219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601549",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601549",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LANE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28204",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINAX",
"first_name": "EVANGELISTA",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "68743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN092",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050829",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.