Dina M Evangelista, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

369177-1 Issued in NY

Practice address

8340 Soule Rd
Liverpool, NY 13090-1322

Phone

(315) 453-1151

Fax

(315) 453-1262

NPI assigned

Oct 11, 2011

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1336423243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 POSEIDON CIR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130906872",
            "telephone_number": "315-453-1151",
            "fax_number": "315-453-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 SOULE RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901322",
            "telephone_number": "315-453-1151",
            "fax_number": "315-453-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "DINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "369177-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Lyn England, PA-C
• Amanda Jean Erardi, RN
• Eric M. Holmes, DDS, PLLC
• Barbara Erives
• Evan M. Dentes, M.D., P.C.
• Elizabeth Evans, BCBA, LBA
• Eye Surgeons of Central New York, PC (Eye Physicians of Central New York)
• Brittany Lynn Fabrizio
• Taylor Fahey
• Lauri Ann Fairbanks Doane, DO

• School Registered Nurse in Liverpool, NY
• Providers in Liverpool, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.