Active NPI
Elizabeth A Evarts, ATC
- Athletic Trainer
- Mill Hall, PA
National Provider Identifier
1336364470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT003630
- Practice address
- 64 Keystone Central Dr
Mill Hall, PA 17751-9668 - Phone
- (570) 893-4646
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT003630 | PA | Primary |
Addresses
Primary practice location
64 Keystone Central Dr
Mill Hall, PA 17751-9668
Mailing address
88 Circle Dr
Lock Haven, PA 17745-8472
Phone (814) 577-5538
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT003630 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1336364470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CIRCLE DR",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177458472",
"telephone_number": "814-577-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 KEYSTONE CENTRAL DR",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177519668",
"telephone_number": "570-893-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVARTS",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT003630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Hall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.