Individual provider Active NPI

Evelina McDowall, PHN

  • Registered Nurse
  • Modesto, CA
National Provider Identifier
1427230960
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN418478 Issued in CA
Practice address
830 Scenic Drive
BLD #3
Modesto, CA 95353-3127
Phone
(209) 558-6807
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN418478 CA Primary

Addresses

Primary practice location

830 Scenic Drive
BLD #3
Modesto, CA 95353-3127

Mailing address

830 Scenic Drive
BLD #3
Modesto, CA 95353-3127
Phone (209) 558-6807

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

LicenseStateTypeSpecialty
RN418478CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1427230960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SCENIC DRIVE",
            "address_2": "BLD #3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953533127",
            "telephone_number": "209-558-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SCENIC DRIVE",
            "address_2": "BLD #3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953533127",
            "telephone_number": "209-558-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWALL",
        "first_name": "EVELINA",
        "credential": "PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN418478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.