Active NPI
Kathleen E Evans, MD
- Family Medicine Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00042926
- Practice address
- 1806 W Lincoln Ave
Yakima, WA 98902-2473 - Phone
- (509) 452-4520
- Fax
- (509) 452-5224
- NPI assigned
- Dec 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7599 | MT | |
| Hospitalist Physician | 208M00000X | MD00042926 | WA | |
| Family Medicine Physician | 207Q00000X | MD00042926 | WA | Primary |
Addresses
Primary practice location
1806 W Lincoln Ave
Yakima, WA 98902-2473
Mailing address
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 543-7271
Other practice location 1
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 543-7271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101748 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7474
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800
989 Medical Park Dr
Maysville, KY 41056-8750
Phone (606) 759-3114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00042926 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Western Montana Clinic PC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Western Montana Clinic PC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Methodist Health, Inc. | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
Interoperability endpoints
- kevans261992@ahs.direct-ci.com
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Family Medicine
-
dba Deaconess Pulmonary New Hartford
- Pulmonary Disease Physician
- Owensboro, KY
- NPI 1841822327
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Hospitalist Physician
- Brevard, NC
- NPI 1184669053
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1356922827
-
dba Baptist Health Deaconess Madisonville Hospital Based Providers
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
Family Medicine
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
dba Portneuf Medical Practices
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
dba Western Montana Clinic Laboratory
- Clinical Medical Laboratory
- Missoula, MT
- NPI 1740364017
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Deaconess Madisonville
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
-
dba Meadowview Regional Medical Center
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
dba Meadowview Regional Medical Center
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1487838819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-543-7271",
"fax_number": "406-327-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W LINCOLN AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022473",
"telephone_number": "509-452-4520",
"fax_number": "509-452-5224"
}
],
"practiceLocations": [
{
"address_1": "500 W Broadway St",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024008",
"country_code": "US",
"telephone_number": "406-543-7271",
"fax_number": "406-327-1834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "KATHLEEN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "7599",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00042926",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00042926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2101748",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.