Individual provider Active NPI

Evelyn Louise Silk, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Fallbrook, CA
National Provider Identifier
1427268689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP2982 Issued in CA
Practice address
113 S Vine St
Suite a
Fallbrook, CA 92028-2925
Phone
(760) 723-2313
Fax
(760) 723-0333
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP2982 CA Primary

Addresses

Primary practice location

113 S Vine St
Suite a
Fallbrook, CA 92028-2925

Mailing address

1168 Wales PL
Cardiff by the Sea, CA 92007-1512
Phone (760) 943-0011

Other names 1

  • Evelyn Louise McNitt Former name

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
NP2982CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427268689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 WALES PL",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071512",
            "telephone_number": "760-943-0011",
            "fax_number": "951-695-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S VINE ST",
            "address_2": "SUITE A",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282925",
            "telephone_number": "760-723-2313",
            "fax_number": "760-723-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILK",
        "first_name": "EVELYN",
        "middle_name": "LOUISE",
        "name_prefix": "Prof.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP2982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "MCNITT",
            "middle_name": "LOUISE",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fallbrook, CA

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.

Verify at the official NPI Registry.