Active NPI
David Linn Evans, ARNP-BC
- Critical Care Pediatric Nurse Practitioner
- Fallon, NV
National Provider Identifier
1376771436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- 553
- Practice address
- 5420 Vinewood
Fallon, NV 89406-4299 - Phone
- (775) 423-9515
- Fax
- (781) 459-6148
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 553 | AK | Primary |
Addresses
Primary practice location
5420 Vinewood
Fallon, NV 89406-4299
Mailing address
5420 Vinewood
Fallon, NV 89406-4299
Phone (775) 423-9515
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 |
|---|---|---|---|
| 553 | AK | MD | Critical Care Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1376771436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 VINEWOOD",
"city": "FALLON",
"state": "NV",
"postal_code": "894064299",
"telephone_number": "775-423-9515",
"fax_number": "781-459-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 VINEWOOD",
"city": "FALLON",
"state": "NV",
"postal_code": "894064299",
"telephone_number": "775-423-9515",
"fax_number": "781-459-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DAVID",
"middle_name": "LINN",
"credential": "ARNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "AK",
"license": "553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.