Individual provider Active NPI

Kalender Dorshell Evins, F.N,P

  • Family Nurse Practitioner
  • Cedar Grove, NJ
National Provider Identifier
1477955995
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
875224 Issued in MS
Practice address
25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone
(929) 650-3990
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352506 NY
Family Nurse Practitioner 363LF0000X 4704432770 MI
Family Nurse Practitioner 363LF0000X 1047729 TX
Family Nurse Practitioner 363LF0000X 69717 NM
Family Nurse Practitioner 363LF0000X APRN11013113 FL
Nurse Practitioner 363L00000X APRN.CNP.0040159 OH
Family Nurse Practitioner 363LF0000X 12425958-4405 UT
Family Nurse Practitioner 363LF0000X A165174 IA
Family Nurse Practitioner 363LF0000X 113886 NE
Family Nurse Practitioner 363LF0000X 11919-33 WI
Family Nurse Practitioner 363LF0000X 205688 OK
Family Nurse Practitioner 363LF0000X 086340-23 NH
Family Nurse Practitioner 363LF0000X 18746 TN
Family Nurse Practitioner 363LF0000X 875224 MS Primary
Family Nurse Practitioner 363LF0000X AC004047 MD

Addresses

Primary practice location

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023

Mailing address

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (929) 650-3990

Other identifiers 1

IdentifierTypeStateIssuer
Q008641MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS, TX, MD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220217000489 FL Practitioner - Nurse Practitioner 5991086035 Reassigns benefits to 1 organization
I20230914001270 MS Practitioner - Nurse Practitioner 5991086035 Reassigns benefits to 1 organization
I20230915003665 TX Practitioner - Nurse Practitioner 5991086035 Reassigns benefits to 1 organization
I20231104000038 MD Practitioner - Nurse Practitioner 5991086035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0040159OHMDNurse Practitioner
APRN11013113FLMDFamily Nurse Practitioner
A165174IAMDFamily Nurse Practitioner
4704432770MIMDFamily Nurse Practitioner
875224MSMDFamily Nurse Practitioner
113886NEMDFamily Nurse Practitioner
086340-23NHMDFamily Nurse Practitioner
69717NMMDFamily Nurse Practitioner
352506NYMDFamily Nurse Practitioner
205688OKMDFamily Nurse Practitioner
18746TNMDFamily Nurse Practitioner
12425958-4405UTMDFamily Nurse Practitioner
11919-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CTD Network LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101

1805 James L Redman Pkwy
#5412
Plant City, FL 33563

822 Guilford Ave
#1940
Baltimore, MD 21202

163 Parkhouse St
#1031
Dallas, TX 75207

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1477955995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E LINDSLEY RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091023",
            "telephone_number": "929-650-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E LINDSLEY RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091023",
            "telephone_number": "929-650-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVINS",
        "first_name": "KALENDER",
        "middle_name": "DORSHELL",
        "credential": "F.N,P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352506",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704432770",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013113",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0040159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12425958-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A165174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11919-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "205688",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "086340-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "875224",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008641",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.