Tracie Lynn Evans

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6201 Bonhomme Rd Ste 288N
Houston, TX 77036-4493

Phone

(832) 453-4918

NPI assigned

Nov 18, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1497390124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 288N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364493",
            "telephone_number": "832-453-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 288N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364493",
            "telephone_number": "832-453-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171MOOOOOOX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sasha Evans, PTA
• Scott E. Evans, M.D.
• Sue Evans, PTA
• Tara Elizabeth Evans, OTR
• Thadeus J Evans, RNFA
• Tracy Lea Evans, RN
• Wendy Jo Evans, LCSW
• Zacarey Evans
• Uyioghosa Dominic Evbayiro
• Elizabeth Evbuomwan

• Case Manager/Care Coordinator in Houston, TX
• Providers in Houston, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.