Individual provider Active NPI

Kathleen Evans, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1477958361
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126003 Issued in TX
Practice address
332 W Sunset Rd
San Antonio, TX 78209-1767
Phone
(210) 546-1430
Fax
(210) 546-1439
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126003 TX Primary

Addresses

Primary practice location

332 W Sunset Rd
San Antonio, TX 78209-1767

Mailing address

45 NE Loop 410 Ste 850
San Antonio, TX 78216-5824
Phone (210) 805-9800

Other practice location 1

155 Adrian Dr
San Antonio, TX 78213-3534
Phone (210) 685-3733

Other practice location 2

45 NE Loop 410 Ste 850
San Antonio, TX 78216-5824
Phone (210) 805-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126003TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1477958361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NE LOOP 410 STE 850",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165824",
            "telephone_number": "210-805-9800",
            "fax_number": "210-207-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W SUNSET RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091767",
            "telephone_number": "210-546-1430",
            "fax_number": "210-546-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Adrian Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782133534",
            "country_code": "US",
            "telephone_number": "210-685-3733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 NE Loop 410 Ste 850",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782165824",
            "country_code": "US",
            "telephone_number": "210-805-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATHLEEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.