Susan Jane Evans, APRN, BC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

18394 Issued in SC

Practice address

130 Whiteford Way Ste a
Lexington, SC 29072-5800

Phone

(803) 808-1800

Fax

(803) 808-1164

NPI assigned

Nov 16, 2005

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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.

• Crossroads Counseling, Inc

  • Mental Health Counselor
  • Lexington, SC
  • NPI 1649376807
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1487636460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WHITEFORD WAY STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290725800",
            "telephone_number": "803-808-1800",
            "fax_number": "803-808-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WHITEFORD WAY STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290725800",
            "telephone_number": "803-808-1800",
            "fax_number": "803-808-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "SC",
            "license": "18394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Espinoza Vein Institute LLC
• Paul Manuel Espinoza, MD
• Kayleigh Eswara, MA, LPCA, NCC
• Matthew David Evans Sr., DMD
• Sherri Quattlebaum Evans, M.A., CCC-SLP
• Victor Shaw Evans, MD
• Everside Health Center-Michelin Lexington
• Eye Associates of Lexington, Inc.
• Eye Care of Lexington
• Janice Ezenwa

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Lexington, SC
• Providers in Lexington, SC by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.