Active NPI
Kirsten Leah Evans, RN
- Registered Nurse
- Pembroke, MA
National Provider Identifier
1659552974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 262917
- Practice address
- 7 Bartlett St
Pembroke, MA 02359 - Phone
- (617) 470-0769
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 262917 | MA | Primary |
Addresses
Primary practice location
7 Bartlett St
Pembroke, MA 02359
Mailing address
7 Bartlett St.
Pembroke, MA 02359
Phone (617) 470-0769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0713805 | Other | MA | MASSHEALTH |
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
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1659552974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BARTLETT ST.",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "02359",
"telephone_number": "617-470-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BARTLETT ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "02359",
"telephone_number": "617-470-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KIRSTEN",
"middle_name": "LEAH",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "262917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "0713805",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.