Brinda Evans

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P25569 Issued in SC

Practice address

1132 US Highway 378 E
MC Cormick, SC 29835-7058

Phone

(864) 443-2687

NPI assigned

Oct 16, 2019

Last updated

Oct 16, 2019By 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

Electronic endpoints 1

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1376185892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LYMAN AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464516",
            "telephone_number": "864-227-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 US HIGHWAY 378 E",
            "city": "MC CORMICK",
            "state": "SC",
            "postal_code": "298357058",
            "telephone_number": "864-443-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P25569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ui",
            "affiliation": "N",
            "endpointDescription": "csv",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 Lyman Ave",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296464516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolina Health Centers, Inc. (McCormick Elementary School Health Clinic)
• Angela D Christopher, MS
• Bernice Daugherty, MSN, APRN, BC
• Susan Elizabeth Davis, MA
• Kasey Driscoll
• Octavia Laine Fabre
• Gene E Floyd Jr., MD
• Angela Denise Gilchrist, BS
• Alston Hargrove
• Healthstat on-Site Clinic/Milliken McCormick

• Licensed Practical Nurse in McCormick, SC
• Providers in McCormick, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.