Evelyn Roleen Tate, STNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

501080210306 Issued in OH

Practice address

2145 Troy Rd
Springfield, OH 45504-4227

Phone

(937) 346-6363

NPI assigned

Feb 16, 2012

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1487927729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 TROY RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044227",
            "telephone_number": "937-346-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 TROY RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044227",
            "telephone_number": "937-346-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "EVELYN",
        "middle_name": "ROLEEN",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "501080210306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayed Tariq Rizvi, M.D
• Tarsem C. Garg, MD, Inc
• Alijahwon Tarvin
• Sheila M Tarwater, PA-C
• Ethan Tate
• Chelsea Marie Taylor
• Heather Taylor
• Levi Chase Taylor, CRNA
• McKenzie Taylor
• Raymond Taylor

• Home Health Aide in Springfield, OH
• Providers in Springfield, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.