Active NPI
Andrea Lorraine Evans
- Registered Nurse
- Westland, MI
National Provider Identifier
1518575273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704222080
- Practice address
- 33250 Warren Rd
Westland, MI 48185-2920 - Phone
- (313) 229-3109
- NPI assigned
- Jul 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704222080 | MI | Primary |
Addresses
Primary practice location
33250 Warren Rd
Westland, MI 48185-2920
Mailing address
882 Oakman Blvd Ste C
Detroit, MI 48238-4019
Phone (313) 229-3109
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aevans@nso-mi.org | Health Information Exchange (HIE) | |
| Direct Messaging Address | aevans@nso-mi.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704222080 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1518575273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "882 OAKMAN BLVD STE C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482384019",
"telephone_number": "313-229-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33250 WARREN RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481852920",
"telephone_number": "313-229-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ANDREA",
"middle_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704222080",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aevans@nso-mi.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "33250 Warren Rd",
"city": "Westland",
"state": "MI",
"country_code": "US",
"postal_code": "481852920",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aevans@nso-mi.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "882 Oakman Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482383710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.