Joan Everson, APN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

26NN05872700 Issued in NJ

Practice address

284 Broadway
Newark, NJ 07104-4003

Phone

(973) 482-5575

Fax

(973) 854-3630

NPI assigned

Oct 23, 2008

Last updated

Oct 23, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1639322514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PROSPECT AVE",
            "address_2": "APT 14A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012209",
            "telephone_number": "201-370-4326",
            "fax_number": "973-278-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071044003",
            "telephone_number": "973-482-5575",
            "fax_number": "973-854-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NJ",
            "license": "26NN05872700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michael Evans, MD
• Shae Evans
• Tanita Evans
• Evergreen Health RX LLC (Ferry Pharmacy)
• Heather B. Evers, CPNP
• Everyday Services and Transportation LLC
• Evidence Transportation and Logistics
• Evolve Therapy LLC
• Glen Martin Ewing, GRNA
• Ewr Medport

• Pediatric Registered Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Pediatric Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.