Individual provider Active NPI

Stephanie Evans

  • General Care Certified Respiratory Therapist
  • Greenville, SC
National Provider Identifier
1376140939
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
License
IHCP-1267 Issued in SC
Practice address
2320 E North St
Greenville, SC 29607-1247
Phone
(864) 344-6221
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory Therapist 2278G1100X IHCP-1267 SC Primary

Addresses

Primary practice location

2320 E North St
Greenville, SC 29607-1247

Mailing address

300 Yukon Dr
Greenville, SC 29605-6094
Phone (864) 344-6221

Other identifiers 1

IdentifierTypeStateIssuer
85-0958583OtherSCHOME CARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sevans@elizabethhomecareservicesllc.com Other
Direct Messaging Address sevans@elizabethhomecareservicesllc.com Other

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

LicenseStateTypeSpecialty
IHCP-1267SCMDGeneral Care Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Home Care Services LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1376140939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 YUKON DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296056094",
            "telephone_number": "864-344-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E NORTH ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071247",
            "telephone_number": "864-344-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "SC",
            "license": "IHCP-1267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "85-0958583",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sevans@elizabethhomecareservicesllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "300 Yukon Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296056094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sevans@elizabethhomecareservicesllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "general",
            "address_1": "300 Yukon Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296056094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.