Active NPI
Tiffany Kay Evans, ATC/LAT
- Athletic Trainer
- Siloam Springs, AR
National Provider Identifier
1477909679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 616
- Practice address
- 700 N Progress Ave
Siloam Springs, AR 72761-4349 - Phone
- (417) 209-5290
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 616 | AR | Primary |
Addresses
Primary practice location
700 N Progress Ave
Siloam Springs, AR 72761-4349
Mailing address
880 Primrose Ave
Siloam Springs, AR 72761-5567
Phone (417) 209-5290
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
| License | State | Type | Specialty |
|---|---|---|---|
| 616 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1477909679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 PRIMROSE AVE",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727615567",
"telephone_number": "417-209-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N PROGRESS AVE",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727614349",
"telephone_number": "417-209-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TIFFANY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "ATC/LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.