Active NPI
Kathleenanne Evans, RN, BSED, LMT
- Registered Nurse
- Nunda, NY
National Provider Identifier
1659680866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 271796
- Practice address
- 9552 Rte 408 South
Nunda, NY 14517-0576 - Phone
- (585) 468-5570
- NPI assigned
- Oct 5, 2010
- 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 | 271796 | NY | Primary |
Addresses
Primary practice location
9552 Rte 408 South
Nunda, NY 14517-0576
Mailing address
PO Box 576
9552 Rte 408 South
Nunda, NY 14517-0576
Phone (585) 468-5570
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels on Guard | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Care Home Facility
- Nunda, NY
- NPI 1811291024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1659680866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576",
"address_2": "9552 RTE 408 SOUTH",
"city": "NUNDA",
"state": "NY",
"postal_code": "145170576",
"telephone_number": "585-468-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9552 RTE 408 SOUTH",
"city": "NUNDA",
"state": "NY",
"postal_code": "145170576",
"telephone_number": "585-468-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KATHLEENANNE",
"name_prefix": "Ms.",
"credential": "RN, BSED, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "271796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nunda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.