Individual provider Active NPI

Evelyn Jeanette Love, MA

  • Attendant Care Provider
  • Liberty, MS
National Provider Identifier
1649828740
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
137699 Issued in MS
Practice address
3272A Enterprise Rd
Liberty, MS 39645-8003
Phone
(601) 810-4955
Fax
(225) 683-1395
NPI assigned
Sep 1, 2019
Last updated
Sep 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 137699 MS Primary

Addresses

Primary practice location

3272A Enterprise Rd
Liberty, MS 39645-8003

Mailing address

3272A Enterprise Rd
Liberty, MS 39645-8003
Phone (601) 810-4955

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL j@gmail.com.love Other

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
137699MSMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1649828740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272A ENTERPRISE RD",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396458003",
            "telephone_number": "601-810-4955",
            "fax_number": "225-683-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272A ENTERPRISE RD",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396458003",
            "telephone_number": "601-810-4955",
            "fax_number": "225-683-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "EVELYN",
        "middle_name": "JEANETTE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "MS",
            "license": "137699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "j@gmail.com.love",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "mail",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "3272A Enterprise Rd",
            "city": "Liberty",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396458003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberty, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.