Individual provider Active NPI

Suzanne B Evans, LSW

  • Case Manager/Care Coordinator
  • Saint Marys, WV
National Provider Identifier
1609042589
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
AP00942197 Issued in WV
Practice address
210 2ND St
Suite 6
Saint Marys, WV 26170-1097
Phone
(304) 684-2656
Fax
(304) 684-2658
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X AP00942197 WV Primary

Addresses

Primary practice location

210 2ND St
Suite 6
Saint Marys, WV 26170-1097

Mailing address

210 2ND St
Suite 6
Saint Marys, WV 26170-1097
Phone (304) 684-2656

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

LicenseStateTypeSpecialty
AP00942197WVMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1609042589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 2ND ST",
            "address_2": "SUITE 6",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701097",
            "telephone_number": "304-684-2656",
            "fax_number": "304-684-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 2ND ST",
            "address_2": "SUITE 6",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701097",
            "telephone_number": "304-684-2656",
            "fax_number": "304-684-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SUZANNE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WV",
            "license": "AP00942197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.