Individual provider Active NPI

Nancy Goebel Evans, RNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1376797803
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
296481 Issued in CA
Practice address
3883 Airway Dr Ste 165
Suite 3
Santa Rosa, CA 95403-1675
Phone
(707) 521-8930
Fax
(707) 523-1305
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 296481 CA Primary

Addresses

Primary practice location

3883 Airway Dr Ste 165
Suite 3
Santa Rosa, CA 95403-1675

Mailing address

1643 Scenic LN
Healdsburg, CA 95448-4535
Phone (707) 433-3587

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

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1376797803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 SCENIC LN",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484535",
            "telephone_number": "707-433-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR STE 165",
            "address_2": "SUITE 3",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031675",
            "telephone_number": "707-521-8930",
            "fax_number": "707-523-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NANCY",
        "middle_name": "GOEBEL",
        "name_prefix": "Ms.",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "296481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.