Active NPI
Tricia Ann Evans, CRT RCP
- Certified Respiratory Therapist
- Williamston, NC
National Provider Identifier
1356490643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 4531
- Practice address
- 115 E Main St Ste 18
Williamston, NC 27892-2482 - Phone
- (252) 792-1659
- Fax
- (252) 792-2043
- NPI assigned
- Jan 9, 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 4531 | NC | Primary |
Addresses
Primary practice location
115 E Main St Ste 18
Williamston, NC 27892-2482
Mailing address
PO Box 1041
Williamston, NC 27892-1041
Phone (252) 792-1659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7492721 | Medicaid | NC |
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 |
|---|---|---|---|
| 4531 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1356490643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1041",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278921041",
"telephone_number": "252-792-1659",
"fax_number": "252-792-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E MAIN ST STE 18",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278922482",
"telephone_number": "252-792-1659",
"fax_number": "252-792-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TRICIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRT RCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "NC",
"license": "4531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7492721",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.