Active NPI
Catherine Evlog, NP
- Nurse Practitioner
- Chelsea, MA
National Provider Identifier
1396804555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 121377NP
- Practice address
- 91 Crest Ave
Chelsea, MA 02150-2154 - Phone
- (617) 884-5660
- Fax
- (617) 884-1162
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 121377NP | MA | Primary |
Addresses
Primary practice location
91 Crest Ave
Chelsea, MA 02150-2154
Mailing address
91 Crest Ave
Chelsea, MA 02150-2154
Phone (617) 884-5660
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121377NP | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daf Medical Associates Inc | Past | 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.
-
- Internal Medicine Physician
- East Falmouth, MA
- NPI 1548212558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396804555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CREST AVE",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502154",
"telephone_number": "617-884-5660",
"fax_number": "617-884-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 CREST AVE",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502154",
"telephone_number": "617-884-5660",
"fax_number": "617-884-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVLOG",
"first_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "121377NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.