Kymbyatta G Evans, RN, BSN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN140835 Issued in GA

Practice address

6496 Bellevue Dr SW
Conyers, GA 30094-4779

Phone

(770) 873-6769

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By 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

Other names 1

• Kymbyatta Gaston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rn4Kidz, LLC

  dba Rn4Kidz

  • Nursing Care Agency
  • Conyers, GA
  • NPI 1922367267
  Authorized official Same address or phone

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1649807470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6496 BELLEVUE DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944779",
            "telephone_number": "770-873-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6496 BELLEVUE DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300944779",
            "telephone_number": "770-873-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KYMBYATTA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "GA",
            "license": "RN140835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYMBYATTA",
            "last_name": "GASTON",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eugene B Gabianelli MD & Assoc LLC (Center for Sight)
• Eureka Transportation Services, LLC
• Carla Evans, MS, LPC, NCC
• Donica Evans
• Genise Autry Evans, DDS
• Melanie Evans
• Orlando Evans
• Vannessa Evans, MD
• Zina L. Evans, LCSW
• Excalibur Anesthesia Associates Inc

• Pediatric Registered Nurse in Conyers, GA
• Providers in Conyers, GA by specialty
• Pediatric Registered Nurse in Georgia

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

Verify at the official NPI Registry.