Isaac Daniel Evans

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5107 Issued in TN

Practice address

570 E 10TH St
Cookeville, TN 38501-1876

Phone

(931) 372-7117

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

Yes

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.

• Infinite Possibilities Counseling

  • Professional Counselor
  • Sparta, TN
  • NPI 1548644735
  Medicare reassignment NPD PROFESSIONAL · TN
• Life Reimagined LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparta, TN
  • NPI 1558141606
  NPD

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2021.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1386216802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 BYRNE AVE APT 2",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015123",
            "telephone_number": "615-498-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011876",
            "telephone_number": "931-372-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ISAAC",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dawn Estes, COTA
• Heidi Ann Estright, OTD, OTR/L
• Linda C Esuzor, M.D
• Abby Marie Evans, FNP-C
• Allyson Evans, M.S.
• Eye Centers of Tennessee, LLC
• Eye Centers of Tennessee, LLC
• Eye Centers of Tennessee, LLC
• James Chike Ezi-Ashi, MD
• F&I Foresight Initiatives

• All providers in Cookeville, TN
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.