Active NPI
Connie S Evans
- Hearing Instrument Specialist
- Greensboro, NC
National Provider Identifier
1649740010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1567
- Practice address
- 100 E Northwood St
Greensboro, NC 27401-1310 - Phone
- (336) 908-2690
- Fax
- (336) 272-9069
- NPI assigned
- Nov 28, 2018
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1567 | NC | Primary |
Addresses
Primary practice location
100 E Northwood St
Greensboro, NC 27401-1310
Mailing address
4418 W Wendover Ave
Greensboro, NC 27407-2600
Phone (336) 851-5561
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 |
|---|---|---|---|
| 1567 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1649740010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4418 W WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274072600",
"telephone_number": "336-851-5561",
"fax_number": "336-272-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E NORTHWOOD ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011310",
"telephone_number": "336-908-2690",
"fax_number": "336-272-9069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CONNIE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.