Stevevonna R Evans

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

15402 W Sage St # 105-106
Victorville, CA 92392-2353

Phone

(760) 987-1689

NPI assigned

Dec 28, 2022

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

Electronic endpoints 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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1629781273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15402 W SAGE ST # 105-106",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922353",
            "telephone_number": "760-987-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15402 W SAGE ST # 105-106",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922353",
            "telephone_number": "760-987-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEVEVONNA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IEHP.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "address_1": "15402 W Sage St # 105-106",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923922353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evans Elderly Residential Care LLC
• Heather Lynn Evans
• Katrina Marie Evans
• Kelly Evans
• Mecca Dionne Evans
• Everside Health-Victorville
• Express Medical Ride LLC
• Extended Care Portfolio California Tenant LLC (Sierra Vista Independent and Assisted Living)
• Eyecee Optometric Inc (Desert Family Eye Care)
• Catherine Ezell

• Community Health Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.