Mark Evans, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN585642 Issued in PA

Practice address

198 Upper Powderly St
Carbondale, PA 18407-2777

Phone

(570) 282-3464

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mark Evans Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1427228428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 UPPER POWDERLY ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072777",
            "telephone_number": "570-282-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 UPPER POWDERLY ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072777",
            "telephone_number": "570-282-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARK",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN585642",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22 591919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "EVANS",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Christopher Dwyer, P.T.
• Felicia Elizabeth Dzielak
• Catherine B Erickson, PHARMD
• Ashley Ettinger, MS, LBS
• Bethany Evans
• Everlong Pharmacy, L.L.P. (Medicine Shoppe)
• Jill Fabri, MS, RD, LDN
• Laura Falonk, CRNA
• Family Pharmacy of Carbondale Inc
• Lauren Leigh Farber, MS OTR/L

• Registered Nurse in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.