Jeri Lee Evans, B.S.

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

136 N Hacienda Ave
Glendora, CA 91741-3966

Phone

(626) 808-1793

NPI assigned

Feb 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1659177145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N HACIENDA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413966",
            "telephone_number": "626-808-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N HACIENDA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413966",
            "telephone_number": "626-808-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JERI",
        "middle_name": "LEE",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Estrada, LCSW
• Denise Estrada, B.S.
• Romelda Capitly Estrada, NP
• Michal Estrela, RN
• Edgar Sunglao Evangelista, NP
• Evergreen Natural Medicine and Acupuncture Corp. (Acupuncture and Natural Medicine Clinic of Glendora)
• Evergreen Shop Pharmacy Inc (Evergreen Shop Pharmacy)
• Brittany Everson, DPM
• Eyenez Integrated Managed Eye Care Network, a Medical Group, Inc.
• Fadda MD Inc a P C

• Nutritionist in Glendora, CA
• Providers in Glendora, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.