Individual provider Active NPI

Natalie Michelle Evans, D.C.

  • Chiropractor
  • Katy, TX
National Provider Identifier
1467541359
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10437 Issued in TX
Practice address
1450 W Grand Pkwy S Ste M
Katy, TX 77494-8331
Phone
(281) 347-2225
Fax
(928) 563-5317
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10437 TX Primary

Addresses

Primary practice location

1450 W Grand Pkwy S Ste M
Katy, TX 77494-8331

Mailing address

1450 W Grand Pkwy S Ste M
Katy, TX 77494-8331
Phone (281) 347-2225

Other identifiers 1

IdentifierTypeStateIssuer
00L76BOtherTXTASA GROUP BCBS OF TEXAS

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

State licenses

LicenseStateTypeSpecialty
10437TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Back Fit Inc. LLC Chiropractor 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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1467541359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GRAND PKWY S STE M",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948331",
            "telephone_number": "281-347-2225",
            "fax_number": "928-563-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W GRAND PKWY S STE M",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948331",
            "telephone_number": "281-347-2225",
            "fax_number": "928-563-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NATALIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TASA GROUP BCBS OF TEXAS",
            "identifier": "00L76B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.