Active NPI
Audrey Evans
- Personal Care Attendant
- Lauderhill, FL
National Provider Identifier
1497217996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1101 NW 43Rd Ave
Lauderhill, FL 33313-6617 - Phone
- (754) 281-0781
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1101 NW 43Rd Ave
Lauderhill, FL 33313-6617
Mailing address
1101 NW 43Rd Ave
Lauderhill, FL 33313-6617
Phone (754) 281-0781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020208900 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ale1158@yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1497217996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 NW 43RD AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333136617",
"telephone_number": "754-281-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 NW 43RD AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333136617",
"telephone_number": "754-281-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "AUDREY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020208900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ale1158@yahoo.com",
"affiliation": "N",
"address_1": "1101 NW 43rd Ave",
"city": "Lauderhill",
"state": "FL",
"country_code": "US",
"postal_code": "333136617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.