Samuel L. Evans, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008091 Issued in KY

Practice address

311 Boone Station Rd
Shelbyville, KY 40065-8673

Phone

(502) 437-8000

NPI assigned

May 10, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: samuel.evans@krogerhealth.eclinicaldirectplus.com

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.

• Clarion Health and Wellness LLC

  • Interventional Pain Medicine Physician
  • Hazard, KY
  • NPI 1063717080
  NPD (past)
• First Stop Urgent Care Center PSC

  • Family Medicine Physician
  • La Grange, KY
  • NPI 1285731497
  NPD (past)

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1437595980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 LAKE RIDGE WAY",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400147762",
            "telephone_number": "502-889-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BOONE STATION RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658673",
            "telephone_number": "502-437-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SAMUEL",
        "middle_name": "L.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Erikson, PH.D.
• Laura Escobar
• Lynsey Estienne, M.S. OTR/L
• Jessica Jane Eugenio, DMD
• Eumedics Health, LLC
• Virginia Catherine Evans, APRN, NP-C
• Ronald Everson, M.D.
• Jeremy Lynn Fairbourn, DDS
• Maria Fairbourn, LCSW
• Family Dental Care of Kentucky PSC

• Family Nurse Practitioner in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.