Demetrice Evans, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

161222 Issued in SC

Practice address

3235 Columbia Hwy S
Estill, SC 29918-6221

Phone

(912) 334-9914

NPI assigned

Dec 6, 2023

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1346017738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 COLUMBIA HWY S",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "299186221",
            "telephone_number": "912-334-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 COLUMBIA HWY S",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "299186221",
            "telephone_number": "912-334-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DEMETRICE",
        "name_prefix": "Ms.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": "161222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Definite Delivery Home Care LLC
• Cathy Wall Deloach, SPEECH PATHOLOGIST
• Earl B Hartzog DMD PA (Estill Dentistry)
• Heather Epton, PHARMD
• Estill Community Pharmacy LLC (Estill Community Pharmacy)
• Federal Correctional Ins Estill
• Taliyah Frazier
• Hampton County School District 2
• Chris Michael Hanna Sr., BS, RPH
• Hannas Discount Pharmacy

• Home Health Aide in Estill, SC
• Providers in Estill, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.